Healthcare Provider Details

I. General information

NPI: 1003877218
Provider Name (Legal Business Name): TONI ANNE WASHINGTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONI ANNE TUZIO MD

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 FIRST VILLAGE DR
PINEHURST NC
28374
US

IV. Provider business mailing address

5 FIRST VILLAGE DR PO BOX 2000
PINEHURST NC
28374
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-6831
  • Fax: 910-295-0244
Mailing address:
  • Phone: 910-295-6831
  • Fax: 910-295-0244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number200100980
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number200100980
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: