Corey Lewis Tarpley
Individual provider Active NPI Private Vehicle · Pelham, NC
NPI 1831607035 · NPPES record last updated Feb 24, 2024
Key facts
- NPI
- 1831607035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- License
- T60212973 (VA)
- Practice address
- 2838 Red Marshall Rd
Pelham, NC 27311-8413 - Phone
- (336) 303-5331
- NPI assigned
- Jan 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T60212973 | VA | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | T60212973 | VA | Yes |
Addresses
Primary practice location
2838 Red Marshall Rd
Pelham, NC 27311-8413
Mailing address
2838 Red Marshall Rd
Pelham, NC 27311-8413
Phone (336) 303-5331
Other providers in Pelham, NC
- Aline Tilithia Kent
- Lucy Nannie Hairston
- Pelham Gardens
- Valerie Long Russell
- Calvin J Slade Sr.
- V Mobile
All providers in Pelham, NC · Private Vehicle in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.