Individual
DR. CHARLES E CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 254-2394
(803) 254-7125
Mailing address
PO BOX 2344, COLUMBIA, SC 29202-2344
(803) 254-2394
(803) 254-7125
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5061
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
5061
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
5061
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050615
SELECT HEALTH
SC
05
—
050615
—
SC
01
—
2020123
CCP
SC
01
—
5231504
AETNA
SC
01
—
77786
MEDCOST
SC
Enumeration date
10/27/2006
Last updated
09/11/2025
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