Individual
DR. CARLOS A CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 HOSPITAL CENTER BLVD, HILTON HEAD ISLAND, SC 29926-2738
(843) 689-8141
(843) 689-8112
Mailing address
595 W CAROLINA AVE, PO BOX 988, VARNVILLE, SC 29944-4735
(803) 943-1277
(803) 943-7601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23301
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00057121
RAILROAD MEDICARE ID
SC
05
—
T73774
—
SC
Enumeration date
05/09/2006
Last updated
08/31/2021
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