Provider Demographics
NPI:1730182296
Name:CORLEY, SARAH TAYLOR (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:TAYLOR
Last Name:CORLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6204 VERNON PALMER CT
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-2349
Mailing Address - Country:US
Mailing Address - Phone:703-354-0095
Mailing Address - Fax:703-783-8849
Practice Address - Street 1:7515 COLSHIRE DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-7539
Practice Address - Country:US
Practice Address - Phone:703-983-1382
Practice Address - Fax:703-783-1382
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2021-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101043231207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F20024Medicare UPIN