Individual
CORINNE R INGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2858 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 699-9073
(866) 527-0937
Mailing address
2858 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 699-9073
(803) 764-2361
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5005404
NC
Other
Enumeration date
11/04/2011
Last updated
07/11/2021
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