Individual
MINDY CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 GREENE ST, COLUMBIA, SC 29208-3511
(803) 777-7412
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-3511
(803) 777-7412
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
29024
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29024
SC
Other
Enumeration date
02/05/2024
Last updated
09/14/2024
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