Corley, Malcolm O

Corley, Malcolm O is an individual health care provider with primary practice located at 125 Wamsutta Mill Road Suite D, Morganton NC 28655-5522. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Corley, Malcolm O can be contacted via phone (828) 430-3511.

Contact Information

Primary practice address
125 Wamsutta Mill Road Suite D Morganton NC 28655-5522
Phone: (828) 430-3511
Fax: (336) 464-2907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5520 South Carolina
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19591 North Carolina

Profile Details

NPI number 1073673562
LBN Legal business name Corley, Malcolm O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Oct 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073673562 NPPES
South Carolina MEDICAID 400685

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