Doctor Name: | GEORGE WILLETT CORNELL |
NPI Number: | 1003879370 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101021787 |
Business Practice Address: | 2000 Meade Parkway Suffolk, VA - 234344259 |
Business Phone Number: | 7575390251 |
Business Fax Number: | 7575397523 |
Mailing Address: | Po Box 7068, PORTSMOUTH |
State: | VA |
Postal Code: | 237070068 |
Phone Number: | 7576863508 |
Fax Number: | 7576860541 |
NPI Enumeration Date: | 04/08/2006 |
NPI Last Update Date: | 03/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 0101021787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |