Healthcare Provider Details

I. General information

NPI: 1982866620
Provider Name (Legal Business Name): CHRISTINA PERRY PARTIN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA SCOTT PERRY

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 ENTERPRISE PKWY STE 2000
HAMPTON VA
23666-6252
US

IV. Provider business mailing address

2041 VALLEYGATE DR
FAYETTEVILLE NC
28304-3745
US

V. Phone/Fax

Practice location:
  • Phone: 757-599-6333
  • Fax: 757-591-7261
Mailing address:
  • Phone: 910-323-5203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number103996
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: