Individual provider · Type 1 NPI
Colby Lynn Picciocca, PA
Medical Physician Assistant · Winston Salem, NC
NPI number
1336259993
Active
Practice location
4016 Huntscroft Ln
Winston Salem, NC 27106-4777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 8407-1 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 0010-01109 (NC) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1336259993
Colby Lynn Picciocca, PA's National Provider Identifier is 1336259993, issued on Aug 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston Salem, NC. The record was last updated on May 30, 2008.