RICHARD CORNWALL

ADVANCE, NC
NPI1780643197
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  100031)
Enumeration Date2006-03-23
Last Update Date2011-05-06
Business Address
-- RICHARD CORNWALL PA C
235 SHALLOWBROOK DR
ADVANCE, NC 27006
Phone number: 336-816-6800
Mailing Address
-- RICHARD CORNWALL PA C
235 SHALLOWBROOK DR
ADVANCE, NC 27006-6732
Phone number: 336-816-6800
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