Individual
DR. DESTINY CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1407 E UNION ST, VIENNA, GA 31092-7531
(229) 268-6079
Mailing address
1407 E UNION ST, VIENNA, GA 31092-7531
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
06/24/2025
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