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NPI Code Detail

MEDICARE: DR. JOHN D COREY MD

MEDICARE: DR. JOHN D COREY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician9500539NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578668810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN D COREY MD
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 75 FREEDOM PKWY STE C
Second Line :
City : PITTSBORO
State : NC
Zip : 27312-4939
Country : US
Telephone Number : 919-545-0911
Fax Number : 919-545-0096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 05/06/2021

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