Individual
CHRISTOPHER SCOTT CORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.EEG T
Contact information
Practice address
152 SPRING VALLEY DR, RAEFORD, NC 28376-5822
(910) 850-9403
Mailing address
152 SPRING VALLEY DR, RAEFORD, NC 28376-5822
(910) 850-9403
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
4959
IL
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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