Cornnell, Timothy J
Cornnell, Timothy J is an sole proprietor health care provider with primary practice located at 7900 N Kings Hwy Ste A , Myrtle Beach SC 29572-3055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cornnell, Timothy J can be contacted via phone (843) 449-3381.Contact Information
Primary practice address
7900 N Kings Hwy Ste A
Myrtle Beach SC 29572-3055
Phone: (843) 449-3381
Fax: (843) 839-0275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 19597 | South Carolina |
Profile Details
| NPI number | 1114913050 |
|---|---|
| LBN Legal business name | Cornnell, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | May 4th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114913050 | NPPES |
| South Carolina | MEDICAID | 195979 |
Popular Providers
-
Raynor, Kathleen M
7900 N Kings Hwy , Myrtle Beach SC 29572-3055 -
Berger, Jeffrey N
1 Dakota Dr Suite 310, New Hyde Park NY 11042-1119 -
Mathis, John Glenn
17501 Generations Dr , South Bend IN 46635-1589 -
Vukov, Gary A
7900 N Kings Hwy , Myrtle Beach SC 29572-3055 -
Hernandez, Jose Carlos
7900 N Kings Hwy , Myrtle Beach SC 29572-3055 -
Jacobson, Dan G.
2960 Ne Heather Ct , Jensen Beach FL 34957-5066 -
Pearson, Andrew N
7900 N Kings Hwy Ste A , Myrtle Beach SC 29572-3055 -
Karagiannis, John P.
303 S Nappanee St , Elkhart IN 46514-2066