Provider Demographics
NPI:1649564378
Name:MCFERRAN, CORRINA DAWN
Entity Type:Individual
Prefix:DR
First Name:CORRINA
Middle Name:DAWN
Last Name:MCFERRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 BREAK WATER DR
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-8880
Mailing Address - Country:US
Mailing Address - Phone:256-656-2955
Mailing Address - Fax:
Practice Address - Street 1:3054 LEEMAN FERRY RD SW
Practice Address - Street 2:SUITE J
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6509
Practice Address - Country:US
Practice Address - Phone:256-881-5130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-28
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051289724183500000X
AL15126183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist