Individual
BRENDAN MICHAEL CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(980) 208-1704
Mailing address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(980) 208-1704
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01085917A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
2021-02333
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
09/13/2024
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