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NPI Code Detail

MEDICARE: MRS. MARKESCIA BATRICE CORKER LMSW

MEDICARE: MRS. MARKESCIA BATRICE CORKER LMSW
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
1104100000XSocial WorkerMSW003913GA

General Provider Information

NPI Number : 1598853269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARKESCIA BATRICE CORKER LMSW
Provider Business Mailing Address
First Line : 1503 E PARK AVE
Second Line : APT. T-8
City : VALDOSTA
State : GA
Zip : 31602-5300
Country : US
Telephone Number : 229-241-8255
Fax Number :
Provider Business Practice Location Address
First Line : 1905 S HUTCHINSON AVE
Second Line :
City : ADEL
State : GA
Zip : 31620-5246
Country : US
Telephone Number : 229-896-4559
Fax Number : 229-896-7663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MARKESCIA BATRICE CORKER LMSW” Practice Location

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