NPI 1023517638

Corbin B Henault, MEDATC

Practitioner Athletic Trainer Savannah, GA

Practice location

Address: 3219 College St, Savannah, GA 31404-5254
Phone: (912) 358-3439
Fax: (912) 358-3939
Mailing address: 1901 Kingstown Dr APT 78, Savannah, GA 31404-2364

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT002590 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1023517638
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2018
Record last updated: 9 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.