Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 33971 | NC |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 33971 | NC |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 33971 | NC |
NPI | 1154300820 |
---|---|
Provider Name | John Steven Corder |
First Address | Asheville, NC 28801-4160 |
Second Address | Asheville, NC 28801-4160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 07/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
24401 | BCBSNC (01) | NC |
8924401 | (05) | NC |
E76506 | (02) | NC |