MEDICARE: PATRICIA RHYS COMBS ATC

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
1	2255A2300X	Athletic Trainer	A0000432	MD

General Provider Information

NPI Number	:	1548687767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA RHYS COMBS ATC

Provider Business Mailing Address
First Line	:	1200 LAUREL SPRINGS DR
Second Line	:	APT 1204
City	:	DURHAM
State	:	NC
Zip	:	27713-6733
Country	:	US
Telephone Number	:	828-551-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 LAUREL SPRINGS DR
Second Line	:	APT 1204
City	:	DURHAM
State	:	NC
Zip	:	27713-6733
Country	:	US
Telephone Number	:	828-551-3200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2014
Last Update Date	:	02/16/2016

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