Individual
SUSANA R CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2430 REIDVILLE RD, SPARTANBURG, SC 29301-3652
(864) 516-1783
Mailing address
2430 REIDVILLE RD, SPARTANBURG, SC 29301-3652
(864) 516-1783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111584
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114489700
—
FL
Enumeration date
09/24/2018
Last updated
03/24/2025
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