Carol Christine Cornelius, MD
Family Medicine in Poway, CA. Individual provider (NPI-1).
NPI number1740256007
StatusActive
Last updated in NPPESAug 10, 2007
Details
- NPI
- 1740256007
- Entity type
- Individual (NPI-1)
- Name
- Carol Christine Cornelius
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2006
- Last updated
- Aug 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G53676 | CA | Yes |
Practice location
15611 Pomerado RdPoway, CA 92064-2437
Phone 858-675-3100
Mailing address
Po Box 28199San Diego, CA 92198-0199
Phone 858-613-8900
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