Individual
DR. LUTHER FRANKLIN CORLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1104 MONROE ST SW, HUNTSVILLE, AL 35801-5029
(256) 265-5864
(256) 265-5865
Mailing address
1104 MONROE ST SW, HUNTSVILLE, AL 35801
(256) 265-5864
(256) 265-5865
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00009310
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I290249
MEDICARE PTAN
AL
05
—
181460
—
AL
01
—
4003518
AETNA PROVIDER NUMBER
AL
Enumeration date
10/27/2006
Last updated
12/20/2016
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