Stanley, Cory M
Stanley, Cory M is an individual health care provider with primary practice located at 3245 Peachtree Pkwy # D188 , Suwanee GA 30024-6054. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stanley, Cory M can be contacted via phone (888) 353-6843.Contact Information
Primary practice address
3245 Peachtree Pkwy # D188
Suwanee GA 30024-6054
Phone: (888) 353-6843
Fax: (912) 303-7167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-01166 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005034 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9116822 | Florida |
Profile Details
| NPI number | 1992825152 |
|---|---|
| LBN Legal business name | Stanley, Cory M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | May 9th, 2024 - about 6 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 | 1992825152 | NPPES |
| Georgia | Other | 01061992 | AMERIGROUP |
| Georgia | Other | 567447065F | AMERIGROUP |
| Georgia | Other | GPA892 | AMERIGROUP |
| Georgia | Other | P00441750 | AMERIGROUP |
| Georgia | Other | 0580PA | AMERIGROUP |
| Georgia | MEDICAID | 567447065B | AMERIGROUP |
| Georgia | MEDICAID | 567447065 | AMERIGROUP |
| Georgia | Other | 567447065E | AMERIGROUP |
| Georgia | MEDICAID | 567447065C | AMERIGROUP |
| Georgia | MEDICAID | 567447065A | AMERIGROUP |
| Georgia | Other | 511I970040 | AMERIGROUP |
| Georgia | Other | GPA9002 | AMERIGROUP |
| Georgia | MEDICAID | 567447065D | AMERIGROUP |
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