Provider Demographics
NPI:1689465197
Name:PARKER, COLBIE CHRISTIAN (PA)
Entity type:Individual
Prefix:
First Name:COLBIE
Middle Name:CHRISTIAN
Last Name:PARKER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 TRANQUILITY DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-9067
Mailing Address - Country:US
Mailing Address - Phone:910-527-9931
Mailing Address - Fax:
Practice Address - Street 1:125 TRANQUILITY DR
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-9067
Practice Address - Country:US
Practice Address - Phone:910-527-9931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant