# CORY M STANLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992825152
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0010-01166 | NC | — |
| 363A00000X | Physician Assistant | 005034 | GA | — |
| 363A00000X | Physician Assistant | PA9116822 | FL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 05/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01061992 | AMERIGROUP | GA |
| 01 | — | 0580PA | MEDICAID ID FOR URGENTONE | SC |
| 01 | — | 511I970040 | MEDICARE ID FOR URGENTONE | GA |
| 05 | — | 567447065 | — | GA |
| 05 | — | 567447065A | — | GA |
| 05 | — | 567447065B | — | GA |
| 05 | — | 567447065C | — | GA |
| 05 | — | 567447065D | — | GA |
| 01 | — | 567447065E | MEDICAID ID FOR URGENTONE | GA |
| 01 | — | 567447065F | MEDICAID ID FOR URGENTONE | GA |
| 01 | — | GPA892 | MEDICAID GROUP ID FOR URGENTONE | SC |
| 01 | — | GPA9002 | MEDICAID GROUP ID FOR URGENTONE | SC |
| 01 | — | P00441750 | RR MEDICARE ID FOR URGENTONE | GA |