Individual
REBEKAH SOROOSH CORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
658 N CHASE ST STE 201, ATHENS, GA 30601-1960
(706) 353-2990
Mailing address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03918
NC
Other
Enumeration date
11/27/2012
Last updated
07/16/2024
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