Individual
MR. MALCOLM O CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 WAMSUTTA MILL ROAD, SUITE D, MORGANTON, NC 28655-5522
(828) 430-3511
(336) 464-2907
Mailing address
125 WAMSUTTA MILL ROAD, SUITE B, MORGANTON, NC 28655-5522
(828) 430-3511
(336) 464-2907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5520
SC
174400000X
Specialist
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
19591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400685
—
SC
Enumeration date
12/12/2006
Last updated
10/04/2021
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