Organization
CORNERSTONE HEALTH CARE, PA
Active
Other names
Piedmont Urological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE E TERRELL (PRESIDENT / CEO)
(336) 802-2400
Entity
Organization
Contact information
Practice address
218 GATEWOOD AVE, HIGH POINT, NC 27262-4877
(336) 802-2030
(336) 802-2031
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2534
(336) 802-2536
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026
TRICARE
NC
01
—
0330C
BCBS
NC
01
—
22157
MEDCOST
NC
01
—
269374
MAMSI
NC
01
—
7070781
AETNA
NC
05
—
890330C
—
NC
01
—
CB8658
RRMC
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4242
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CC5472
RR MEDICARE
NC
01
—
CC6608
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
01
—
CF9200
RR MEDICARE
NC
01
—
D266
PARTNERS MEDICARE CHOICE
NC
Enumeration date
03/16/2007
Last updated
11/15/2012
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