Individual
DR. ROMEL CORPUZ CUNANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 NEWNAN CROSSING BYP, KAISER PERMANENTE NEWNAN MEDICAL CENTER, NEWNAN, GA 30265-1063
(770) 304-4406
(770) 251-7275
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(770) 251-7275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054189
GA
207R00000X
Internal Medicine Physician
54189
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437094727A
—
GA
Enumeration date
08/16/2006
Last updated
01/07/2022
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