Maydell, Corne
Maydell, Corne is an individual health care provider with primary practice located at 2501 N Patterson St , Valdosta GA 31602-1735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Maydell, Corne can be contacted via phone (229) 433-1000.Contact Information
Primary practice address
2501 N Patterson St
Valdosta GA 31602-1735
Phone: (229) 433-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 036.127517 | Illinois |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 074329 | Georgia |
Profile Details
| NPI number | 1396901591 |
|---|---|
| LBN Legal business name | Maydell, Corne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2008 |
| Last updated | Dec 30th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396901591 | NPPES |
| Georgia | MEDICAID | 003179857A |
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