Provider Information for 1467193250
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CHELSEA LYNN CORLEY
Sex: Female
NPI: 1467193250
Last Updated: 2024-08-10
Certification Date: 2024-08-10
Certification Date: 2024-08-10
Details
Name | Value | ||||||||||||||||||||
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NPI | 1467193250 | ||||||||||||||||||||
Enumeration Date | 2022-04-05 | ||||||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||||||
Status | Active | ||||||||||||||||||||
Mailing Address | 2708 ANTHONY PL LYNCHBURG, VA 24501-2406 United States Phone: | Fax: | ||||||||||||||||||||
Primary Practice Address | 2708 ANTHONY PL LYNCHBURG, VA 24501-2406 United States Phone: 571-250-7486 | Fax: | ||||||||||||||||||||
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