Individual
MICAH METTS CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3240 SUNSET BLVD, WEST COLUMBIA, SC 29169-3428
(803) 359-8855
(803) 794-6480
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 604-0066
(803) 604-3263
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30382
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2025
Last updated
04/06/2026
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