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NPI Code Detail

MEDICARE: TONIA POTEAT P.A. - C

MEDICARE: TONIA POTEAT P.A. - C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-08344NC

General Provider Information

NPI Number : 1134229230
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONIA POTEAT P.A. - C
Provider Business Mailing Address
First Line : 100 EASTOWNE DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-2286
Country : US
Telephone Number : 984-974-7198
Fax Number : 984-974-4587
Provider Business Practice Location Address
First Line : 100 EASTOWNE DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-2286
Country : US
Telephone Number : 984-974-7198
Fax Number : 984-974-4587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 11/19/2025

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