NPI 1174591366

Derok S Cornwell, PA

Practitioner Physician Assistant Gadsden, AL

Practice location

Address: 100 Medical Center Dr Suite 101, Gadsden, AL 35903-1130
Phone: (256) 492-8590
Fax: (256) 492-4498

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Alabama →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA- 885 (AL)

Registry record

NPI: 1174591366
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2006
Record last updated: 24 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.