NPI 1306302021

Antuan Eugenia Cornelius

Practitioner Contractor Clarksville, TN

Practice location

Address: 813 Peachers Mill Rd, Clarksville, TN 37042-5419
Phone: (931) 302-4500

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 23765 (TN)

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Registry record

NPI: 1306302021
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2019
Record last updated: 18 Feb 2019

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.