Coressence Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CORESSENCE INC

Practice address

103 Hay St
Fayetteville, NC 28301-5649

Phone

(910) 321-0079

Fax

(910) 321-0072

NPI assigned

Apr 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert A Clinton Jr., M.D.

Title

Owner

Phone

(910) 321-0079

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679695233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015649",
            "telephone_number": "910-321-0079",
            "fax_number": "910-321-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015649",
            "telephone_number": "910-321-0079",
            "fax_number": "910-321-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORESSENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-321-0079",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickayla Corbin
• Brunilda Cordero, MD
• Elizabeth Joy Cordero, CNM, WHNP
• Melissa Ann Cordevant-Terwilliger
• Core Outreach LLC
• Brianna Corey
• Brynna Corley
• Lauren Corne
• Cornerstone Caregiving West LLC
• Cornerstone Family Practice & Urgent Care, PLLC

• Dermatology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.