Doctor Name: | MRS. CORBETT ELIZABETH TOUSSAINT |
NPI Number: | 1720287816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 0619 |
Business Practice Address: | 600 N Wheeler Ave Prosperity, SC - 291279332 |
Business Phone Number: | 8037671023 |
Business Fax Number: | |
Mailing Address: | 600 N Wheeler Ave, PROSPERITY |
State: | SC |
Postal Code: | 291279332 |
Phone Number: | 8037671023 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 0619 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |