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Individual

SAMUEL J CORBIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18 BARNETTE DR, SUMTER, SC 29150-8004
(803) 775-6308
(803) 778-1853
Mailing address
18 BARNETTE DR, SUMTER, SC 29150-8004
(803) 775-6308
(803) 778-1853

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5350
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000149363
UNISON HEALTH PLAN
SC
01
0191552
UNITED HEALTH CARE
SC
05
053505
SC
01
61271
PREMIER HEALTH SYSTEMS
SC
01
P00451777
RAILROAD MEDICARE PTAN
Enumeration date
12/29/2005
Last updated
04/14/2010
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