DEBRA COPELAND SIZEMORE PAC NPI 1063497196

NPI Information

NPI: 1063497196
Provider Name: DEBRA COPELAND SIZEMORE, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4618 COUNTRY CLUB RD
WINSTON SALEM, NC
ZIP 27104
Phone: (336) 716-2255
Get Directions

Debra Copeland Sizemore, PAC is a medical physician assistant in Winston Salem, NC. Debra Copeland Sizemore, PAC NPI is 1063497196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4618 COUNTRY CLUB RD
WINSTON SALEM, NC
ZIP 27104-520
Phone: (336) 716-2255
Fax: (336) 716-9258

The enumeration date for this NPI number is 12/13/2005 and was last updated on 10/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	000101030	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	94719	OTHER		MEDCOST
2	2748432A	MEDICARE PIN	NORTH CAROLINA
3	970025245	OTHER		RR MEDICARE
4	S67095	MEDICARE UPIN
5	7330736	OTHER		AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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