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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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