Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Richard Cornwall, PAC

Individual provider Family Medicine Physician · NPI 1780643197

Richard Cornwall, PAC is a Family Medicine Physician in Advance, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

235 Shallowbrook Dr
Advance, NC 27006
Phone: (336) 816-6800
Fax: (336) 816-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 100031 (NC)

Record details

NPI number1780643197
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedMarch 23, 2006
Last updated in NPPESMay 6, 2011

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