Individual
JOHN D KORNMAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
45 E MILLS ST., COLUMBUS, NC 28722
(828) 894-8213
(828) 894-5775
Mailing address
PO BOX 608, COLUMBUS, NC 28722-0608
(828) 894-8213
(828) 894-5775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9800939
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891155A
—
NC
Enumeration date
11/16/2006
Last updated
07/17/2012
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