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Organization

CORNERSTONE SURGICAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH R BUCKLEN MD PA (PRESIDENT OWNER)
(704) 735-7069
Entity
Organization

Contact information

Practice address
206 GAMBLE DRIVE, SUITE C, LINCOLNTON, NC 28092
(704) 735-7069
(704) 735-7537
Mailing address
PO BOX 917, LINCOLNTON, NC 28093
(704) 735-7069
(704) 735-7537

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5901768
NC
Enumeration date
07/10/2006
Last updated
08/22/2020
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