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NPI Code Detail

MEDICARE: ELIZABETH COMBS PA

MEDICARE: ELIZABETH COMBS PA
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 Assistant

General Provider Information

NPI Number : 1417767088
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH COMBS PA
Provider Business Mailing Address
First Line : PO BOX 1267
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-1267
Country : US
Telephone Number : 336-719-7112
Fax Number : 336-786-3752
Provider Business Practice Location Address
First Line : 830 ROCKFORD ST
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-5322
Country : US
Telephone Number : 336-783-8374
Fax Number : 336-786-4048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2025
Last Update Date : 04/27/2026

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Directions to “ ELIZABETH COMBS PA” Practice Location

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