Individual
DR. JOHN K CORLESS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1962 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5837
(843) 722-8000
(843) 723-7850
Mailing address
1962 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5837
(843) 722-8000
(843) 723-7850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8734
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87346
—
SC
Enumeration date
06/21/2005
Last updated
07/08/2007
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