William O Cornwell, MD Valid NPI

Individual provider · Family Medicine Physician · Ringgold, GA

NPI

1578540654

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

15360 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2005-12-29

Last updated

2011-01-31