Doctor Name: | DR. ALONZO DIXON KORNEGAY |
NPI Number: | 1023074432 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 23395 |
Business Practice Address: | 170 Kimel Park Dr Winston-salem, NC - 271036946 |
Business Phone Number: | 7043232000 |
Business Fax Number: | |
Mailing Address: | 4601 Park Rd, Suite 300 CHARLOTTE |
State: | NC |
Postal Code: | 282093239 |
Phone Number: | 7043232000 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207XX0004X |
License Number: | 23395 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Orthopaedic Surgery |
Taxonomy Specialization: | Foot and Ankle Surgery |
Taxonomy Definition: | Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |