Addis, Callista Rose

Addis, Callista Rose is an individual health care provider with primary practice located at 1 Medical Center Blvd , Winston Salem NC 27157-2128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Addis, Callista Rose can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address

1 Medical Center Blvd Winston Salem NC 27157-2128

Phone: (336) 716-2255

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant	363A00000X	0010-11558	North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant	363A00000X

Profile Details

NPI number	1386318772
LBN Legal business name	Addis, Callista Rose
Credentials	Physician's Assistant Certified (PA-C)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 9th, 2021
Last updated	Oct 27th, 2022 - about 3 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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