Individual
MS. TINA MARIE CORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS(OB/GYN,AB), RVT
Contact information
Practice address
118 HALLIBURTON RD, HENDERSONVILLE, NC 28791-3816
(828) 779-2746
Mailing address
118 HALLIBURTON RD, HENDERSONVILLE, NC 28791-3816
(828) 779-2746
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
174630
NC
2471V0105X
Vascular Sonography Radiologic Technologist
174630
NC
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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