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JEAN-RONEL CORBIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1040 EDGEWATER CORP PKWY, SUITE 106, INDIAN LAND, SC 29707-4514
(704) 541-9117
(704) 541-9137
Mailing address
1040 EDGEWATER CORP PKWY, SUITE 106, INDIAN LAND, SC 29707-4514
(704) 541-9117
(704) 541-9137

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
2006-01910
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
200601910
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
144NE
BCBS ID
NC
01
195352
MEDCOST ID
NC
01
5695931
CIGNA HEALTHCARE
NC
05
5905648
NC
01
7235262
AETNA
NC
05
NC1492
SC
Enumeration date
12/22/2006
Last updated
08/05/2015
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