Individual
CORI CHRISTINE CORCORAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
508 FULTON ST, DEPT OF ANESTHESIOLOGY, 112C, DURHAM, NC 27705-3875
(919) 286-0411
(919) 286-6853
Mailing address
2103 BECKETTS RDG, HILLSBOROUGH, NC 27278-6644
(919) 360-8338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103265
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103265
STATE LICENSE NUMBER
NC
01
—
1050474
NATIONAL CERTIFICATE NUMB
NC
Enumeration date
03/15/2006
Last updated
03/07/2023
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