Organization
WARREN KEITH STAFFORD, M.D.
Active
Other names
Cornerstone Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA KLINGER (BUSINESS MANAGER)
(484) 553-3286
Entity
Organization
Contact information
Practice address
206A S MAIN ST, GREER, SC 29650-2127
(864) 989-0230
(864) 334-1880
Mailing address
8055 WERTMAN RD, FOGELSVILLE, PA 18051-1820
(484) 553-3286
(484) 214-0347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23690
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236907
—
SC
Enumeration date
12/06/2011
Last updated
01/03/2012
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