Organization
CORNERSTONE HEALTH CARE PA
Active
Other names
Carolina Cardiology Cornerstone
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE E TERRELL MD (PRESIDENT / CEO)
(336) 802-2400
Entity
Organization
Contact information
Practice address
306 WESTWOOD AVE, SUITE 401, HIGH POINT, NC 27262-4341
(336) 885-6168
(336) 885-8523
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
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912895
—
NC
05
—
5913178
—
NC
05
—
5950569
—
NC
05
—
5950570
—
NC
05
—
5950571
—
NC
05
—
5950572
—
NC
05
—
5950573
—
NC
01
—
CB8658
RR MEDICARE
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
Enumeration date
07/16/2008
Last updated
05/14/2014
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