Provider Demographics
NPI:1225417256
Name:WINSTON, COLBY LEIGH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:COLBY
Middle Name:LEIGH
Last Name:WINSTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2138 LANGHORNE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1400
Mailing Address - Country:US
Mailing Address - Phone:434-947-3920
Mailing Address - Fax:434-947-3924
Practice Address - Street 1:2138 LANGHORNE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1400
Practice Address - Country:US
Practice Address - Phone:434-947-3920
Practice Address - Fax:434-947-3924
Is Sole Proprietor?:No
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110-004941363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant