Individual
DR. TIMOTHY WILEY CORBETT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
324 COMMERCE RD, SUITE A, FARMVILLE, VA 23901-2794
(434) 392-9366
(434) 392-9348
Mailing address
324 COMMERCE RD, SUITE A, FARMVILLE, VA 23901-2794
(434) 392-9366
(434) 392-9348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057605
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010299161
—
VA
Enumeration date
09/25/2006
Last updated
07/27/2011
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