Individual
CORBIN B HENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC
Contact information
Practice address
3219 COLLEGE ST, SAVANNAH, GA 31404-5254
(912) 358-3439
(912) 358-3939
Mailing address
1901 KINGSTOWN DR APT 78, SAVANNAH, GA 31404-2364
(408) 679-7133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002590
GA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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