Provider Demographics
NPI:1750320073
Name:CORSE, STEVEN K (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:K
Last Name:CORSE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:919 CONFERENCE DR STE 4
Mailing Address - Street 2:BOX 167
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1924
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:836 E. 65TH STREET
Practice Address - Street 2:SUITE 9
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405
Practice Address - Country:US
Practice Address - Phone:912-819-0500
Practice Address - Fax:912-819-0501
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-01-27
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Provider Licenses
StateLicense IDTaxonomies
GA026088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000288538UMedicaid
GAP00630153OtherRR MEDICARE
SCG26088Medicaid
GA000288538NMedicaid
GAP00630153OtherRR MEDICARE