Healthcare Provider Details

I. General information

NPI: 1447524830
Provider Name (Legal Business Name): CORY ALAN BRIGGS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2012
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 GOLDENLEAF CIR
WHISPERING PINES NC
28327-0137
US

IV. Provider business mailing address

518 GOLDENLEAF CIR
WHISPERING PINES NC
28327-0137
US

V. Phone/Fax

Practice location:
  • Phone: 910-315-0774
  • Fax:
Mailing address:
  • Phone: 910-315-0774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0010-03353
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: