TANA KORNACHUK

FAYETTEVILLE, NC
NPI1922463645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies363A00000X Physician Assistant
(Licence: MT  55810)
363AM0700X Physician Assistant, Medical
(Licence: NC  0010-06117)
Enumeration Date2015-12-22
Last Update Date2023-02-03
Business Address
TANA KORNACHUK PA-C
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-4000
Mailing Address
TANA KORNACHUK PA-C
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: