Anderson, Cory Dale

Anderson, Cory Dale is an individual health care provider with primary practice located at 1690 Us Highway 1 S Ste 100 , Southern Pines NC 28387-7037. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Anderson, Cory Dale can be contacted via phone (910) 692-7449.

Contact Information

Primary practice address
1690 Us Highway 1 S Ste 100 Southern Pines NC 28387-7037
Phone: (910) 692-7449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2667 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-08057 North Carolina

Profile Details

NPI number 1588998371
LBN Legal business name Anderson, Cory Dale
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2009
Last updated Jun 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers