# CORACCESS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558625319
- **Authorized official:** CHARLES DAVID FOREMAN PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (678) 462-9734

## Contact information

- **Practice address:** 1478 LEAFVIEW RD, DECATUR, GA 30033-2112
- **Practice address phone:** (678) 462-9734
- **Mailing address:** 1478 LEAFVIEW RD, DECATUR, GA 30033-2112
- **Mailing address phone:** (678) 462-9734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 003373 | GA | Yes |

## Other

- **Enumeration date:** 06/26/2012
- **Last updated:** 05/13/2013