Individual
GARY S CORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 PETER JEFFERSON PKWY, STE 100, CHARLOTTESVILLE, VA 22911-8844
(434) 293-4072
(434) 293-4265
Mailing address
650 PETER JEFFERSON PKWY, STE 100, CHARLOTTESVILLE, VA 22911-8844
(434) 293-4072
(434) 293-4265
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001357
VA
Other
Enumeration date
06/24/2006
Last updated
02/01/2017
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