Individual
ROBERT CORKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 725-3146
Mailing address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 934-0190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12101
MS
207Q00000X
Family Medicine Physician
Primary
12101
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110277
—
MS
Enumeration date
10/27/2006
Last updated
12/30/2020
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