Provider Demographics
NPI:1225087307
Name:TONOS, ANTHONY (MD)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:TONOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 HIGHLAND OAKS DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-7106
Mailing Address - Country:US
Mailing Address - Phone:336-760-0070
Mailing Address - Fax:336-760-0017
Practice Address - Street 1:755 HIGHLAND OAKS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-7106
Practice Address - Country:US
Practice Address - Phone:336-760-0070
Practice Address - Fax:336-760-0017
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5910609Medicaid
NC2023140Medicare PIN
NC5910609Medicaid