Creel S Cornwell in Bridgeport - Internal Medicine

Creel S Cornwell - NPI 1265469472

Creel S Cornwell is a Internal Medicine in Bridgeport, . Creel S Cornwell practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Creel S Cornwell is 1265469472. The last update date is 2013-03-27.

Creel S Cornwell's current location address is 120 Medical Park Dr, Bridgeport, . You can contact this provider via phone number 3046247200 and fax number 3046240026. The mailing address for Creel S Cornwell is 120 Medical Park Dr, Bridgeport, . To know further, please read the information below!

Provider Profile Detail

Provider Name Creel S Cornwell
Address 120 Medical Park Dr, Bridgeport,
Phone Number 3046247200
Fax Number 3046240026
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1265469472
Provider Enumeration Date 2006-06-26
Last Updated Date 2013-03-27

Provider Mailing Address Detail

Address 120 Medical Park Dr
City Bridgeport
State (WV)
Post Code 263309012
Phone Number 3046247200
Fax Number 3046240026

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 9342
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
87204000 WV --

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FAQs about Creel S Cornwell

What is the unique 10-digit identification code issued to Creel S Cornwell by the Centers for Medicare & Medicaid Services?

The Creel S Cornwell has been assigned the NPI (National Provider Identifier) 1265469472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Creel S Cornwell?

The Creel S Cornwell is physically situated at 120 Medical Park Dr, in the city of Bridgeport, state of WV, with the postal code 263309012.

What is Creel S Cornwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Creel S Cornwell is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Creel S Cornwell receive its 1265469472 assignment from the Centers for Medicare & Medicaid Services?

The Creel S Cornwell was assigned its 1265469472 by the Centers for Medicare & Medicaid Services on 2006-06-26.

When was the information regarding Creel S Cornwell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Creel S Cornwell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-03-27.

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