MEDICARE: PAUL CORNEA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	37738	TN

General Provider Information

NPI Number	:	1083603906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL CORNEA MD

Provider Business Mailing Address
First Line	:	725 GLENWOOD DR
Second Line	:	SUITE E-486
City	:	CHATTANOOGA
State	:	TN
Zip	:	37404-1163
Country	:	US
Telephone Number	:	423-495-2650
Fax Number	:	423-495-2655

Provider Business Practice Location Address
First Line	:	725 GLENWOOD DR
Second Line	:	SUITE E-486
City	:	CHATTANOOGA
State	:	TN
Zip	:	37404-1163
Country	:	US
Telephone Number	:	423-495-2650
Fax Number	:	423-495-2655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	11/02/2011

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