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Individual

SHANE A CORBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C.

Contact information

Practice address
1905 ANN ST, PARKERSBURG, WV 26101-2504
(304) 424-4150
(304) 424-4151
Mailing address
1905 ANN ST, PARKERSBURG, WV 26101-2504
(304) 424-4150
(304) 424-4151

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01164
WV

Other

Enumeration date
07/10/2006
Last updated
07/08/2007
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