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1114913050
TIMOTHY J CORNNELL
MYRTLE BEACH, SC
NPI
1114913050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: SC 19597)
Enumeration Date
2005-09-26
Last Update Date
2022-05-04
Business Address
TIMOTHY J CORNNELL MD
7900 N KINGS HWY STE A
MYRTLE BEACH, SC 29572-3055
Phone number: 843-449-3381
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Mailing Address
TIMOTHY J CORNNELL MD
7900 N KINGS HWY STE A
MYRTLE BEACH, SC 29572-3055
Phone number: 843-449-3381
Copy
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