Coryell, Carolyn M
Coryell, Carolyn M is an individual health care provider with primary practice located at 730 Hartness Rd , Statesville NC 28677-3425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Coryell, Carolyn M can be contacted via phone (704) 873-1777.Contact Information
Primary practice address
730 Hartness Rd
Statesville NC 28677-3425
Phone: (704) 873-1777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 9500050 | North Carolina |
Profile Details
| NPI number | 1508858390 |
|---|---|
| LBN Legal business name | Coryell, Carolyn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jun 29th, 2024 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508858390 | NPPES |
| North Carolina | MEDICAID | 8924531 |
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