Provider Demographics
NPI:1871854943
Name:CORLEY, APRIL JANLYN (MD)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:JANLYN
Last Name:CORLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:JANLYN
Other - Last Name:CORLEY-DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-1260
Mailing Address - Fax:704-384-1289
Practice Address - Street 1:9101 MONROE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-2442
Practice Address - Country:US
Practice Address - Phone:704-384-1260
Practice Address - Fax:704-384-1289
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC183012207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCO326AMedicare UPIN