Organization
CORNERSTONE HEALTH CARE
Active
Other names
Warren Stacks MD a Cornerstone Practice
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE E TERRELL M.D (PRESIDENT/CEO)
(336) 802-2536
Entity
Organization
Contact information
Practice address
1400 WESTGATE CENTER DR, SUITE 140, WINSTON SALEM, NC 27103-3112
(336) 802-2536
(336) 802-2534
Mailing address
1701 WESTCHESTER DR, SUITE 850, HIGH POINT, NC 27262-7008
(336) 802-2536
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740203090
—
NC
Enumeration date
12/10/2012
Last updated
05/15/2014
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