Individual
MISS CORINA MAE FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M., C.P.M.
Contact information
Practice address
198 SECOND ROAD, SUMMERTOWN, TN 38483
(305) 308-5900
(786) 515-9874
Mailing address
115 CREEKVIEW ROAD, SUMMERTOWN, TN 38483
(305) 308-5900
(786) 515-9874
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
101
TN
176B00000X
Midwife
MW102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340371800
—
FL
01
—
Y0549
BCBS PROVIDER NUMBER
FL
Enumeration date
09/20/2006
Last updated
01/23/2023
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