Cory, Richard C

Cory, Richard C is an individual health care provider with primary practice located at 200 W Academy Street , Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cory, Richard C can be contacted via phone (770) 282-8820.

Contact Information

Primary practice address
200 W Academy Street Gainesville GA 30501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 045193 Georgia

Profile Details

NPI number 1134101116
LBN Legal business name Cory, Richard C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 12th, 2021 - about 3 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 1134101116 NPPES
Georgia Other 581177261 MEDICARE GRP PROV #
Georgia MEDICAID 000785683O MEDICARE GRP PROV #
Georgia Other P00325034 MEDICARE GRP PROV #
Georgia MEDICAID 000785683AA MEDICARE GRP PROV #

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