Thigpen, Corbett Mark

Thigpen, Corbett Mark is an individual health care provider with primary practice located at 3650 J Dewey Gray Cir , Augusta GA 30909-1867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Thigpen, Corbett Mark can be contacted via phone (706) 863-9797.

Contact Information

Primary practice address
3650 J Dewey Gray Cir Augusta GA 30909-1867
Phone: (706) 863-9797
Fax: (706) 868-9209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 021058 Georgia

Profile Details

NPI number 1295785475
LBN Legal business name Thigpen, Corbett Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295785475 NPPES
Georgia MEDICAID 00263172A
Georgia Other 026876
Georgia Other 0519750
Georgia Other 0900126
Georgia MEDICAID G21058

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