Organization
CORNERSTONE HEALTH CARE PA
Active
Other names
Cornerstone Convenience Care Clinic at Premier
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE E TERRELL MD (PRESIDENT / CEO)
(336) 802-2400
Entity
Organization
Contact information
Practice address
4515 PREMIER DRIVE, SUITE 201, HIGH POINT, NC 27265-8350
(336) 802-2222
(336) 802-2351
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
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281L
BCBS
NC
01
—
25864
MEDCOST
NC
01
—
7030772
AETNA
NC
05
—
890281L
—
NC
01
—
CB8658
RR MEDICARE
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
01
—
D266
PARTNERS
NC
Enumeration date
03/20/2007
Last updated
11/03/2014
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