Individual
PAMELA SUE CORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1309 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 933-3212
(704) 933-3221
Mailing address
193 MADISON AVE NE, CONCORD, NC 28025-3221
(704) 723-6597
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
046556
NC
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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