Individual
GARY EDWARD CORDINGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 HOSPITAL DRIVE, SUITE 360, ATHENS, OH 45701
(740) 594-8147
(740) 594-8148
Mailing address
75 HOSPITAL DRIVE, SUITE 360, ATHENS, OH 45701
(740) 594-8147
(740) 594-8148
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
048757
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512609
—
OH
01
—
31106661900
BWC
OH
01
—
P00173094
RAILROAD CARRIER MEDICARE
—
Enumeration date
09/28/2006
Last updated
07/08/2007
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