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NPI Code Detail

MEDICARE: DR. CHRISTO C COURBAN M.D.

MEDICARE: DR. CHRISTO C COURBAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician159466MA
2207P00000XEmergency Medicine Physician28270SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215912548
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTO C COURBAN M.D.
Provider Business Mailing Address
First Line : 300 SINGLETON RIDGE RD
Second Line : CHRISTO COURBAN EMERGENCY MEDICINE
City : CONWAY
State : SC
Zip : 29526-9142
Country : US
Telephone Number : 843-347-8015
Fax Number : 843-234-5017
Provider Business Practice Location Address
First Line : 2829 E HIGHWAY 76
Second Line :
City : MULLINS
State : SC
Zip : 29574-6035
Country : US
Telephone Number : 843-431-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 01/28/2021

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