Individual
DR. JORGE EDUARDO CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1085, ATLANTA, GA 30308-2208
(404) 681-3190
(404) 686-3193
Mailing address
550 PEACHTREE ST NE, SUITE 1085, ATLANTA, GA 30308-2208
(404) 681-3190
(404) 686-3193
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
054603
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107206A
—
GA
Enumeration date
01/08/2008
Last updated
06/21/2011
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