Organization
CORNERSTONE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASAUNDRA GREENE MED. (MEMBER/OWNER)
(864) 884-7211
Entity
Organization
Contact information
Practice address
207 QUINTON LN, COLUMBIA, SC 29229-8520
(843) 619-7036
(843) 619-7037
Mailing address
PO BOX 24601, COLUMBIA, SC 29224-4601
(843) 619-7036
(843) 619-7037
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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