Individual
CORY WELLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2076 HWY 42 W, SUITE 300, CLAYTON, NC 27520-9226
(919) 938-7113
Mailing address
2076 HWY 42 W, CLAYTON, NC 27520-9226
(919) 938-7113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005515
NC
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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