Individual
CORY RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
839 MAJESTIC CT STE 4, GASTONIA, NC 28054-5152
(800) 475-6112
Mailing address
3054 BIRCH CREEK DR, GASTONIA, NC 28054
(915) 401-9319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301109562
MI
207UN0902X
Nuclear Imaging & Therapy Physician
2021-01979
NC
2085N0700X
Neuroradiology Physician
Primary
2021-01979
NC
Other
Enumeration date
06/09/2016
Last updated
07/13/2022
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