Individual
J A CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3903 S COBB DR SE, SMYRNA, GA 30080-6342
(404) 778-6540
Mailing address
3903 S COBB DR SE, SMYRNA, GA 30080-6342
(404) 778-6540
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
015080
GA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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