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Organization

CORNERSTONE HEALTH CARE, PA

Active
Other names
R. Van Fletcher, MD
Organization subpart
No

Provider details

NPI number
Authorized official
GRACE E TERRELL (PRESIDENT / CEO)
(336) 802-2400
Entity
Organization

Contact information

Practice address
721 N ELM ST, SUITE 102, HIGH POINT, NC 27262-3928
(336) 802-2010
(336) 802-2011
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2536
(336) 802-2534

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0246R
BCBS
NC
01
22742
MEDCOST
01
269374
MAMSI
01
7100720
AETNA
05
890246R
NC
01
CB8658
RR MEDICARE
NC
01
CC4241
RR MEDICARE
NC
01
CC4242
RR MEDICARE
NC
01
CC4243
RR MEDICARE
NC
01
CC5472
RRMC
NC
01
CC6608
RR MEDICARE
NC
01
CD6614
RR MEDICARE
NC
01
CF9200
RR MEDICARE
NC
01
D266
PARTNERS MEDICARE CHOICE
NC
Enumeration date
03/13/2007
Last updated
11/16/2012
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