Cory Anthony Rader
Health Maintenance Organization in Clayton, NC. Individual provider (NPI-1).
NPI number1548034804
StatusActive
Last updated in NPPESNov 8, 2023
Details
- NPI
- 1548034804
- Entity type
- Individual (NPI-1)
- Name
- Cory Anthony Rader
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2023
- Certification date
- Nov 8, 2023
- Last updated
- Nov 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
71 Hastings DrClayton, NC 27527-5385
Phone 919-592-2112
Mailing address
71 Hastings DrClayton, NC 27527-5385
Phone 919-592-2112
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