Individual
CORLEY BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5073 MAIN ST, SUITE 100, SPRING HILL, TN 37174-2737
(615) 302-0885
Mailing address
1195 OLD HICKORY BLVD, SUITE 101, BRENTWOOD, TN 37027-4239
(615) 818-9888
(615) 891-5021
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2924
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020247
—
TN
Enumeration date
01/25/2016
Last updated
08/23/2016
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