Kornegay, Hervy Basil
Kornegay, Hervy Basil is an individual health care provider with primary practice located at 2604 Medical Office Pl , Goldsboro NC 27534-9417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kornegay, Hervy Basil can be contacted via phone (919) 580-0004.Contact Information
Primary practice address
2604 Medical Office Pl
Goldsboro NC 27534-9417
Phone: (919) 580-0004
Fax: (919) 580-9099
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 9600255 | North Carolina |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 9600255 | North Carolina |
Profile Details
NPI number | 1730184458 |
---|---|
LBN Legal business name | Kornegay, Hervy Basil |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2005 |
Last updated | Jun 5th, 2024 - about 5 months 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 | 1730184458 | NPPES |
North Carolina | MEDICAID | 8949939 | |
North Carolina | Other | 1043M |
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