Individual
DR. CORY KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
131 PROVIDENCE RD STE 200, CHARLOTTE, NC 28207-1235
(704) 749-5800
Mailing address
131 PROVIDENCE RD STE 200, CHARLOTTE, NC 28207-1235
(704) 749-5800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101019912
MI
Other
Enumeration date
03/26/2012
Last updated
05/27/2020
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