Individual
KAITLIN CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1655 BERNARDIN AVE STE 350, COLUMBIA, SC 29204-2039
(803) 253-7575
(803) 253-7571
Mailing address
1655 BERNARDIN AVE STE 350, COLUMBIA, SC 29204-2039
(803) 253-7575
(803) 253-7571
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3148
SC
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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