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NPI Code Detail

MEDICARE: COLLIN FISHER HINNANT PA-C

MEDICARE:   COLLIN FISHER HINNANT  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
1363A00000XPhysician Assistant0010-15173NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10010-15173OTHERNCNC MEDICAL LICENSE

General Provider Information

NPI Number : 1003612474
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLIN FISHER HINNANT PA-C
Provider Business Mailing Address
First Line : PO BOX 10467
Second Line :
City : GREENSBORO
State : NC
Zip : 27404-0467
Country : US
Telephone Number : 336-207-7005
Fax Number :
Provider Business Practice Location Address
First Line : 1121 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1007
Country : US
Telephone Number : 336-207-7005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2025
Last Update Date : 05/20/2026

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Directions to “ COLLIN FISHER HINNANT PA-C” Practice Location

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