Individual
COREY MICHAEL CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 CHEROKEE ST NE STE 100, MARIETTA, GA 30060-8930
(678) 797-8201
Mailing address
660 CHEROKEE ST NE, MARIETTA, GA 30060-8965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98617
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
98617
GA
Other
Enumeration date
05/03/2012
Last updated
03/27/2024
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