Individual
MRS. CORBETT ELIZABETH TOUSSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
600 N WHEELER AVE, PROSPERITY, SC 29127-9332
(803) 767-1023
Mailing address
600 N WHEELER AVE, PROSPERITY, SC 29127-9332
(803) 767-1023
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016.005251
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
0619
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016.005251
STATE LICENSE NUMBER
IL
01
—
0619
SOUTH CAROLINA LICENSE
SC
Enumeration date
07/17/2007
Last updated
08/13/2012
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