John K Corless in Charleston - Specialist

John K Corless - NPI 1962408443

John K Corless is a Specialist in Charleston, South Carolina. John K Corless practices all healthcare services and medical treatments related to Specialist. The NPI Number for John K Corless is 1962408443. The last update date is 2007-07-08.

John K Corless's current location address is 1962 Charlie Hall Blvd, Charleston, South Carolina. You can contact this provider via phone number 8437228000 and fax number 8437237850. The mailing address for John K Corless is 1962 Charlie Hall Blvd, Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name John K Corless
Address 1962 Charlie Hall Blvd, Charleston, South Carolina
Phone Number 8437228000
Fax Number 8437237850
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1962408443
Provider Enumeration Date 2005-06-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1962 Charlie Hall Blvd
City Charleston
State South Carolina (SC)
Post Code 2941458370
Phone Number 8437228000
Fax Number 8437237850

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 8734
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
87346 SC --

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FAQs about John K Corless

What is the John K Corless's 1962408443?

The John K Corless's NPI (National Provider Identifier) Number is 1962408443. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the John K Corless located?

The John K Corless is located at 1962 Charlie Hall Blvd, Charleston, SC 2941458370.

What is John K Corless's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for John K Corless is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

When was the John K Corless's 1962408443 issued?

The John K Corless's 1962408443 was issued on 2005-06-21.

When was the information pertaining to John K Corless most recently updated or revised?

The details related to John K Corless, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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