Individual
REBECCA CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
439 NORTH ST, BAMBERG, SC 29003-1317
(803) 378-2715
Mailing address
PO BOX 188, NEESES, SC 29107-0188
(803) 378-2715
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN.230557
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230557
SOUTH CAROLINA STATE BOARD OF NURSING
SC
Enumeration date
11/14/2017
Last updated
11/14/2017
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