Individual
MS. TONA F CORNATZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 HOSPITAL ST, MOCKSVILLE, NC 27028-2039
(336) 753-6750
(336) 753-1670
Mailing address
265 HOWARDTOWN RD, MOCKSVILLE, NC 27028-7237
(336) 940-2481
(336) 753-1670
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102533
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10185
NORTH CAROLINA BOARD OF PHARMACY (NCBOP)
NC
01
—
102533
NC MEDICAL BOARD LICENSE
NC
01
—
1035311
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS (NCCPA)
—
05
—
1578648424
—
NC
Enumeration date
10/26/2006
Last updated
03/07/2023
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