Carla C Cornett, BA

Individual provider Active NPI Case Manager/Care Coordinator · Big Stone Gap, VA

NPI 1972732865 · NPPES record last updated Jul 13, 2009

Key facts

NPI
1972732865
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3169 2ND Ave E
Big Stone Gap, VA 24219-3805
Phone
(276) 523-8300
Fax
(423) 467-3644
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3169 2ND Ave E
Big Stone Gap, VA 24219-3805

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

Other providers in Big Stone Gap, VA

All providers in Big Stone Gap, VA · Case Manager/Care Coordinator in Virginia

Sources for this page

Verify at the official NPI Registry.