Female

Traci Corbin NP

Nurse Practitioner in Evans, GA(View on Map)

Full Name

Traci Corbin NP

NPI Number

1881138592

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/14/2016

Specialties

(Taxonomies)

Code

363L00000X
208000000X

Primary Taxonomy

Yes
No

Licenses

State

Georgia

License Number

RN261681

Contact
Information

Purpose

Mailing
Location

Address

501 FURYS FERRY RD
411 TOWN PARK BLVD

City

Augusta
Evans

State

GA
GA

Postal Code

30907-9059
30809-3487

Country

US
US

Telephone Number

(762) 685-5501
(706) 854-2500

Identifiers

Identifier

003190470C

Identifier State

GA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/30/2024

Provider Address

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