Individual
CORBIN AUSTIN DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(352) 223-6472
(336) 842-6984
Mailing address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(352) 223-6472
(336) 842-6984
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
95161
NC
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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