Individual
CARSON LEIGH CATHERINE CORRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 WHEELING AVE, GLEN DALE, WV 26038-1531
(304) 845-3211
Mailing address
100 WHEELING AVE, GLEN DALE, WV 26038-1531
(304) 845-3211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2023
Last updated
09/17/2024
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