Individual
COREY COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2503 E LYON STATION RD # 2, CREEDMOOR, NC 27522
(919) 528-1535
Mailing address
2503 E LYON STATION RD # 2, CREEDMOOR, NC 27522-9112
(919) 528-1535
(614) 533-0433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-00454
NC
Other
Enumeration date
03/30/2016
Last updated
06/24/2019
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