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
Mailing address235 Shallowbrook Dr, Advance, NC 27006-6732

Other providers in Advance