Individual
MR. CORY DALE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1690 US HIGHWAY 1 S STE 100, SOUTHERN PINES, NC 28387-7037
(910) 692-7449
Mailing address
1690 US HIGHWAY 1 S STE 100, SOUTHERN PINES, NC 28387-7037
(910) 692-7449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08057
NC
363A00000X
Physician Assistant
2667
TN
Other
Enumeration date
09/25/2009
Last updated
06/10/2021
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