Individual
DR. CORBETT MARK THIGPEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 868-9209
Mailing address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 868-9209
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
021058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00263172A
—
GA
01
—
026876
BCBS
GA
01
—
0519750
AETNA
GA
01
—
0900126
UHC
GA
05
—
G21058
—
SC
Enumeration date
05/11/2006
Last updated
07/08/2007
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