# CORNERSTONE FAMILY MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255097333
- **Authorized official:** CINDY VAUGHAN NP (OWNER)
- **Authorized official phone:** (662) 570-4636

## Contact information

- **Practice address:** 111 ALABAMA ST, COLUMBUS, MS 39702-5220
- **Practice address phone:** (662) 570-4636
- **Mailing address:** 111 ALABAMA ST, COLUMBUS, MS 39702-5220
- **Mailing address phone:** (662) 570-4636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2021
- **Last updated:** 11/12/2021