Individual
CORINNE HELENA TRUSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
QSM-GA, INC-SNF, 1821 ANDERSON AVE NW, ATLANTA, GA 33014-1835
(305) 466-9988
(305) 466-9989
Mailing address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019-2915
(305) 466-9988
(305) 466-9989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601003291
MI
363A00000X
Physician Assistant
Primary
9564
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970020813
RAILROAD RETIREMENT
MI
01
—
G86360
PRIORITY HEALTH
MA
Enumeration date
01/23/2007
Last updated
03/25/2020
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