Individual
DR. KEVIN J CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2100 STANTONSBURG RD, PITT COUNTY MEMORIAL HOSPITAL EMERGENCY MEDICINE, GREENVILLE, NC 27834-2818
(252) 744-2207
(252) 744-5014
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3520
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130VW
BCBS NC
NC
05
—
89130VW
—
NC
Enumeration date
08/15/2005
Last updated
02/21/2008
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