Individual
ADRIAN P. CORLETTE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 RIDGE WAY, SIMPSONVILLE, SC 29680-7028
(864) 862-9043
Mailing address
221 RIDGE WAY, SIMPSONVILLE, SC 29680-7028
(864) 862-9043
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
018275
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T20536
—
SC
Enumeration date
05/27/2006
Last updated
06/07/2011
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