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NPI Code Detail

MEDICARE: MS. JOY LISA CSIKOS PA-C

MEDICARE: MS. JOY LISA CSIKOS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantMA051714PA
2363A00000XPhysician Assistant0010-09020NC

General Provider Information

NPI Number : 1700880440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOY LISA CSIKOS PA-C
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 336-718-8383
Fax Number : 336-718-9622
Provider Business Practice Location Address
First Line : 3333 SILAS CREEK PKWY
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-3013
Country : US
Telephone Number : 336-718-8383
Fax Number : 336-718-9622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 04/04/2023

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