Provider Demographics
NPI:1679289771
Name:CORBETT, BRITTANY SHANIKA (MASTER COSMETOLOGIST)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SHANIKA
Last Name:CORBETT
Suffix:
Gender:F
Credentials:MASTER COSMETOLOGIST
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Mailing Address - Street 1:3319 TARRAGON DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-6208
Mailing Address - Country:US
Mailing Address - Phone:770-283-1279
Mailing Address - Fax:
Practice Address - Street 1:3319 TARRAGON DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-6208
Practice Address - Country:US
Practice Address - Phone:770-283-1279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist