Nicholas Corneillie, OD

NPI #1568196194 in Hiram, Georgia

Provider Information

NPI Number: 1568196194
Entity Type: Individual
Name: Nicholas Corneillie, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 11, 2022
Last Updated: Jul 11, 2022

Practice Location

Address: 4465 JIMMY LEE SMITH PKWY STE 101A
City: Hiram
State: Georgia
ZIP Code: 30141-2723
Phone: (678) 932-5779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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