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Contact Information

JUAN A CORNEJO, MD
4303 LIVE OAK DRIVE
LITTLE RIVER, SC29566
 Phone: 843-663-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JUAN A CORNEJO · (Male)

NPI # 1154374445
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 03/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 7783
  • SC Medicaid 007838
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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