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Juan A Cornejo, MD

Family Medicine in Little River, SC. Individual provider (NPI-1).

NPI number1154374445
StatusActive
Last updated in NPPESMar 26, 2015

Details

NPI
1154374445
Entity type
Individual (NPI-1)
Name
Juan A Cornejo
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2006
Last updated
Mar 26, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine7783SCYes

Practice location

4303 Live Oak Drive
Little River, SC 29566

Phone 843-663-8000

Mailing address

Po Box 547
Little River, SC 29566

Phone 843-663-8000

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