Individual
DR. COREY SCOTT MOTTESHEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19485 OLD JETTON RD STE 100, CORNELIUS, NC 28031-6583
(704) 384-1775
(704) 384-1776
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-02398
NC
207Q00000X
Family Medicine Physician
228372
NC
Other
Enumeration date
05/01/2017
Last updated
10/26/2020
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