Individual
CORBIN DENNIS HARLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(866) 484-0799
Mailing address
PO BOX 488, CONOVER, NC 28613-0488
(866) 484-0799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
201101095
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168TE
BLUECROSS BLUESHIELD
NC
01
—
NC3520A
MEDICARE PART B CIGNA
—
Enumeration date
06/26/2007
Last updated
02/20/2012
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