Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | RN248138 | GA |
NPI | 1396384509 |
---|---|
Provider Name | Mrs. Mary H Corbitt |
First Address | Sharpsburg, GA 30277-3477 |
Second Address | Peachtree City, GA 30269-4803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2020 |
Last Update Date | 06/01/2020 |