Corley, Charles E
Corley, Charles E is an individual health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Corley, Charles E can be contacted via phone (803) 254-2394.Contact Information
Primary practice address
2720 Sunset Blvd
West Columbia SC 29169-4810
Phone: (803) 254-2394
Fax: (803) 254-7125
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 5061 | South Carolina |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 5061 | South Carolina |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 5061 | South Carolina |
Profile Details
NPI number | 1053497750 |
---|---|
LBN Legal business name | Corley, Charles E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053497750 | NPPES |
South Carolina | MEDICAID | 050615 | |
South Carolina | Other | 2020123 | |
South Carolina | Other | 77786 | |
South Carolina | Other | 050615 | |
South Carolina | Other | 5231504 |
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