Corey, Judith L.

Corey, Judith L. is an individual health care provider with primary practice located at 4320 15Th St Suite A, Gulfport MS 39501-2524. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Corey, Judith L. can be contacted via phone (228) 864-4392.

Contact Information

Primary practice address
4320 15Th St Suite A Gulfport MS 39501-2524
Phone: (228) 864-4392
Fax: (228) 868-7103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15899 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 252516-01 New York

Profile Details

NPI number 1437150323
LBN Legal business name Corey, Judith L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 2nd, 2024 - about 8 months 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 1437150323 NPPES
Mississippi MEDICAID 00119480

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