Individual
DR. ASHLEY COREIL RECORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20474 OLD SCENIC HWY, ZACHARY, LA 70791-7365
(225) 654-1124
(225) 654-7079
Mailing address
20474 OLD SCENIC HWY, P.O. BOX 1160, ZACHARY, LA 70791-7365
(225) 654-1124
(225) 654-7079
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD.200350
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4N487
MEDICARE SERVICES/PART B PROGRAM
LA
Enumeration date
07/31/2007
Last updated
10/11/2009
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