SearchGeorgia171W00000X

Tanya Cornelius

NPI 1205469665 · on the registry since 2020

Practice

Address
504 Arlene Ln
Sparks, GA 31647
Phone
(229) 402-3833

Registry record

Primary taxonomy
171W00000X
171W00000X
Also registered as
171W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia