Cornelius, Pamela

Cornelius, Pamela is an individual health care provider with primary practice located at 2711 X Ray Dr Ste B , Gastonia NC 28054-7491. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Cornelius, Pamela can be contacted via phone (704) 884-0064.

Contact Information

Primary practice address
2711 X Ray Dr Ste B Gastonia NC 28054-7491
Phone: (704) 884-0064
Fax: (704) 884-0074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L002111 North Carolina
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X L002111 North Carolina

Profile Details

NPI number 1255571139
LBN Legal business name Cornelius, Pamela
Credentials RD/LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2009
Last updated Apr 22nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255571139 NPPES
North Carolina Other 152YR BCBS NC

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