Blease, David Corley

Blease, David Corley is an individual health care provider with primary practice located at 9313 Medical Plaza Dr Suite 304, North Charleston SC 29406-9155. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Blease, David Corley can be contacted via phone (843) 553-5616.

Contact Information

Primary practice address
9313 Medical Plaza Dr Suite 304 North Charleston SC 29406-9155
Phone: (843) 553-5616
Fax: (843) 764-2917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X A875 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X A875 South Carolina

Profile Details

NPI number 1225057086
LBN Legal business name Blease, David Corley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 1st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225057086 NPPES
South Carolina MEDICAID 0378PA

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