Individual
CORY ANTHONY RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 HASTINGS DR, CLAYTON, NC 27527-5385
(919) 592-2112
Mailing address
71 HASTINGS DR, CLAYTON, NC 27527-5385
(919) 592-2112
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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