Organization
CORNERSTONE HEALTH CARE PA
Active
Parent organization
MEDVANTX, INC
Other names
Cornerstone Jonesville Family Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
4000 S SWAIM STREET EXT, JONESVILLE, NC 28642-9418
(336) 835-6300
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
22085
NC
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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