Provider Demographics
NPI:1104973270
Name:MARGIE CORNEY, MD PC
Entity type:Organization
Organization Name:MARGIE CORNEY, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-548-1918
Mailing Address - Street 1:817 GREENBRIER PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3823
Mailing Address - Country:US
Mailing Address - Phone:757-673-3216
Mailing Address - Fax:757-548-9581
Practice Address - Street 1:817 GREENBRIER PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3823
Practice Address - Country:US
Practice Address - Phone:757-673-3216
Practice Address - Fax:757-548-9581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101227544207V00000X
VA0101035740207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA24103OtherOPTIMA PROVIDER NUMBER
VA317433OtherANTHEM PROVIDER NUMBER
VA00620059Medicaid
VA053055OtherANTHEM PROVIDER NUMBER
VA34614OtherOPTIMA PROVIDER NUMBER
VA317433OtherANTHEM PROVIDER NUMBER
VA317433OtherANTHEM PROVIDER NUMBER
VA00620059Medicaid