Provider Demographics
NPI:1023204005
Name:CORBIER, PAUL ARNOLD
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:ARNOLD
Last Name:CORBIER
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:PAUL
Other - Middle Name:ARNOLD
Other - Last Name:CORBIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2265 MARION SPILLWAY RD
Mailing Address - Street 2:
Mailing Address - City:ELMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36025-1500
Mailing Address - Country:US
Mailing Address - Phone:334-567-1548
Mailing Address - Fax:334-567-1538
Practice Address - Street 1:112 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-1835
Practice Address - Country:US
Practice Address - Phone:334-285-9804
Practice Address - Fax:334-265-9804
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26355207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG80908Medicare UPIN