Organization
CORNERSTONE GENERAL SURGERY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MONK (PRESIDENT)
(225) 930-0060
Entity
Organization
Contact information
Practice address
1939 PATTERSON ST STE 102, GUNTERSVILLE, AL 35976-2017
(225) 930-0060
(225) 952-9075
Mailing address
PO BOX 14149, BATON ROUGE, LA 70898-4149
(225) 930-0060
(225) 952-9075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26404
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154531
—
AL
Enumeration date
10/29/2013
Last updated
05/19/2014
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