Male or Other

Dr. Charles E. Corley MD

Full Name

Dr. Charles E Corley MD

NPI Number

1053497750

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/27/2006

Specialties

(Taxonomies)

Licenses

State

South Carolina

License Number

5061

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2344
2720 SUNSET BLVD

City

Columbia
West Columbia

State

SC
SC

Postal Code

29202-2344
29169-4810

Country

US
US

Telephone Number

(803) 254-2394
(803) 254-2394

Identifiers

Identifier

050615
2020123
77786
050615
5231504

Identifier State

SC
SC
SC
SC
SC

Identifier Issuer

Unknown
CCP
MEDCOST
SELECT HEALTH
AETNA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address