Individual
CORINA BROOKE RAFFISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-5809
(919) 684-8111
Mailing address
2214 5TH ST, MERIDIAN, MS 39301-5809
(601) 696-2320
(601) 696-2350
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2025
Last updated
07/16/2025
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