Colby Rip Wallace, PA
NPI #1396477840 in Henderson, North Carolina
Provider Information
- NPI Number
- 1396477840
- Entity Type
- Individual
- Name
- Colby Rip Wallace, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jun 24, 2022
- Last Updated
- Sep 27, 2023
Practice Location
- Address
- 566 RUIN CREEK RD
- City
- Henderson
- State
- North Carolina
- ZIP Code
- 27536-2927
- Phone
- (919) 461-0017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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