John Cornelius O'Donnell
Internal Medicine, Pulmonary Disease in Greenville, NC. Individual provider (NPI-1).
NPI number1679922751
StatusActive
Last updated in NPPESFeb 23, 2024
Details
- NPI
- 1679922751
- Entity type
- Individual (NPI-1)
- Name
- John Cornelius O'Donnell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2016
- Certification date
- Feb 23, 2024
- Last updated
- Feb 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 2022-01225 | NC | Yes |
| 207R00000X | Internal Medicine | 25MB10517100 | NJ |
Practice location
521 Moye BlvdGreenville, NC 27834-2849
Phone 252-744-1600 · Fax 252-744-1115
Mailing address
Po Box 751069Charlotte, NC 28275-1069
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