Search › Georgia › 1041C0700X
Mariah Corcoran
NPI 1245985514 · on the registry since 2022 · sole proprietor
Practice
- Address
- 8514 Price Ave
Douglasville, GA 30134 - Phone
- (610) 331-1690
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia