George Willett Cornell
Gynecologist
2000 Meade Parkway
Suffolk
, Virginia 23434-4259
George Willett Cornell
Gynecologist
2000 Meade Parkway
Suffolk
, Virginia 23434-4259
(757) 686-0541
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- George Willett Cornell
- Po Box 7068
- Portsmouth, VA
- Zip : 23707-0068
- Fax : (757) 686-0541
- Phone : (757) 686-3508
Second Address
- George Willett Cornell
- 2000 Meade Parkway
- Suffolk, VA
- Zip : 23434-4259
- Fax : (757) 539-7523
- Phone : (757) 539-0251
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 0101021787 | VA |
National Provider Identifier
| NPI | 1003879370 |
|---|---|
| Provider Name | George Willett Cornell |
| First Address | Portsmouth, VA 23707-0068 |
| Second Address | Suffolk, VA 23434-4259 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2006 |
| Last Update Date | 05/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 160010030 | RAILROAD MEDICARE (01) | VA |
| 6260152 | (05) | VA |
| 8905375 | (05) | NC |
| B09432 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.