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General NPI Number Information
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NPI Number | 1376782946
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Entity Type | Organization
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Legal Business Name | F N MCCORKLE JR., MD PA
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 1113 MILL ST
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City | CAMDEN
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State | SC
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Zip | 29020-3763
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Country | US
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Telephone | 803-432-3379
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Fax | 803-424-1273
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Provider Business Mailing Address
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Address Line | 1113 MILL ST
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City | CAMDEN
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State | SC
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Zip | 29020-3763
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Country | US
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Telephone | 803-432-3379
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Fax | 803-424-1273
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANCIS N MCCORKLE JR.
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Credential | MD
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Telephone | 803-432-3379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 3592
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License Number State | SC
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