Organization
CORNERSTONE FAMILY PRACTICE & URGENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA BUCKLEY PA-C (PRESIDENT)
(910) 307-1576
Entity
Organization
Contact information
Practice address
1536 OWEN PARK LN, FAYETTEVILLE, NC 28304-3454
(910) 307-1576
(910) 500-3117
Mailing address
PO BOX 2376, BRYSON CITY, NC 28713-2376
(910) 302-3801
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F766
MEDICARE
NC
Enumeration date
11/02/2015
Last updated
08/10/2023
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