Individual
BERNARD AUGUSTUS CORBETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 PEACHWOOD CENTRE DR, SPARTANBURG, SC 29301-2575
(864) 560-9627
(864) 562-5470
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9260
SC
207Q00000X
Family Medicine Physician
Primary
23498
NC
207Q00000X
Family Medicine Physician
9260
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092606
—
SC
Enumeration date
05/18/2006
Last updated
04/21/2025
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