Individual
MARY S CORKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 288-3191
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 288-3191
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
16420
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120864
—
MS
01
—
110185644
RAILROAD MEDICARE
—
05
—
1490733
—
LA
01
—
1559126
AMERICAN ADMIN GROUP
MS
Enumeration date
08/03/2006
Last updated
03/26/2009
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