Individual
GREGG ALLEN KORBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 ABBEY ROAD, SUITE D, CHARLOTTESVILLE, VA 22911
(434) 974-7200
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101033916
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010369894
—
VA
01
—
249674
ANTHEM BCBS
VA
Enumeration date
08/17/2006
Last updated
08/13/2012
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