Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLBY RIP WALLACE, PA
ActiveCOLBY RIP WALLACE, PA is a Physician Assistant healthcare provider located in HENDERSON, North Carolina. NPI 1396477840 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HENDERSON, NC
Registration Details
- NPI Number
- 1396477840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2022 (4.1436617941306 yrs)
- Last Updated
- Sep 27, 2023
- License
-
0010-12596 (NC)
Practice Information
- Address
-
566 RUIN CREEK RDHENDERSON, NC, 275362927Browse NC providers · Browse ZIP 27536
- Phone
- 9194610017
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HENDERSON, NC
| Name | Credential | NPI |
|---|---|---|
| MS. JAMIE ROONEY | PA-C | 1881681906 |
| MRS. MARTHA C NELSON | PAC | 1679526420 |
| DAVID J KLECZEK | PA-C | 1982625414 |
| MRS. ELIZABETH ANNE BACHIOCHI | PA-C | 1710078860 |
| MR. WILLARD EDWARD VALENTINE | PA-C | 1417041492 |
| KRISTEN L WHITE | PA-C | 1245394709 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.