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Individual

MRS. MELISSA JOSEPH CORBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26389
SC
367500000X
Certified Registered Nurse Anesthetist
4704186832
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
430068157
MEDICARE RAIL ROAD TSC
MI
01
430B810310
BCBS TSC
MI
05
PENDING
SC
Enumeration date
09/15/2005
Last updated
09/14/2022
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