Individual
RAYMOND SCOTT CORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 RICHMOND MEDICAL PARK, COLUMBIA, SC 29230
(904) 446-3451
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3451
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
GA024795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000441339B
—
GA
Enumeration date
08/18/2006
Last updated
07/01/2015
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