Provider Demographics
NPI:1891024030
Name:MCCORMAC, ELEANOR MAE (PA)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:MAE
Last Name:MCCORMAC
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Gender:F
Credentials:PA
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Mailing Address - Street 1:2 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-7782
Mailing Address - Country:US
Mailing Address - Phone:828-254-5326
Mailing Address - Fax:828-251-5954
Practice Address - Street 1:2 MEDICAL PARK DR
Practice Address - Street 2:SUITE 1000
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7782
Practice Address - Country:US
Practice Address - Phone:828-254-5326
Practice Address - Fax:828-251-5954
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC101582363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical