Broadhead, Cori Clark

Broadhead, Cori Clark is an individual health care provider with primary practice located at 516 Quintard Ave , Anniston AL 36201-5711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Broadhead, Cori Clark can be contacted via phone (256) 741-9799.

Contact Information

Primary practice address
516 Quintard Ave Anniston AL 36201-5711
Phone: (256) 741-9799
Fax: (256) 741-9795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 201914904 Alabama

Profile Details

NPI number 1033750401
LBN Legal business name Broadhead, Cori Clark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2019
Last updated Oct 23rd, 2019 - about 6 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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