| Doctor Name: | DR. LARY RICHARD KORN |
| NPI Number: | 1255578860 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 0311 |
| Business Practice Address: | 3029 White Horse Rd Suite B Greenville, SC - 296117701 |
| Business Phone Number: | 8642696131 |
| Business Fax Number: | 8642696150 |
| Mailing Address: | 111 Broad St, CLEMSON |
| State: | SC |
| Postal Code: | 296311904 |
| Phone Number: | 8642662413 |
| Fax Number: | 8646545561 |
| NPI Enumeration Date: | 01/20/2009 |
| NPI Last Update Date: | 09/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0311 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |