Mansour, Cory Kane
Mansour, Cory Kane is an individual health care provider with primary practice located at 3625 Braselton Hwy Ste 201 , Dacula GA 30019-4695. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Mansour, Cory Kane can be contacted via phone (678) 889-2326.Contact Information
Primary practice address
3625 Braselton Hwy Ste 201
Dacula GA 30019-4695
Phone: (678) 889-2326
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 81919 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 81919 | Georgia |
Profile Details
| NPI number | 1871903567 |
|---|---|
| LBN Legal business name | Mansour, Cory Kane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2014 |
| Last updated | Jul 8th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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