Individual
COREY O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E HOSPITAL RD, FORT EISENHOWER, GA 30905
(253) 968-0369
Mailing address
300 E HOSPITAL RD, FORT EISENHOWER, GA 30905
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
30181
NE
2085R0202X
Diagnostic Radiology Physician
Primary
30181
NE
2085R0202X
Diagnostic Radiology Physician
MD61321849
WA
Other
Enumeration date
02/14/2016
Last updated
08/30/2024
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