Individual provider · Type 1 NPI

Colby Rip Wallace, PA

Physician Assistant · Henderson, NC

NPI number 1396477840 Active

Practice location

566 Ruin Creek Rd
Henderson, NC 27536-2927

Mailing address

1218 Maroon Dr
Durham, NC 27713-8233

Other practice locations

  • 781 Avent Ferry Rd Ste 102, Holly Springs, NC 27540-7776 · (919) 567-6120

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-12596 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1396477840

Colby Rip Wallace, PA's National Provider Identifier is 1396477840, issued on Jun 24, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Henderson, NC. The record was last updated on Sep 27, 2023.