Cornett, Wendy Renee

Cornett, Wendy Renee is an individual health care provider with primary practice located at 200 Patewood Dr Suite B260, Greenville SC 29615-3593. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Cornett, Wendy Renee can be contacted via phone (864) 454-2100.

Contact Information

Primary practice address
200 Patewood Dr Suite B260 Greenville SC 29615-3593
Phone: (864) 454-2100
Fax: (864) 454-2101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19401 South Carolina

Profile Details

NPI number 1356455992
LBN Legal business name Cornett, Wendy Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated May 20th, 2021 - about 4 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 1356455992 NPPES
South Carolina MEDICAID 194015
South Carolina Other P00660911

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