Individual
DR. COREY V TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7565 DANNAHER DR, POWELL, TN 37849-4029
(865) 859-8000
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4590
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2018
Last updated
09/06/2022
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