Organization
CORNERSTONE HEALTH CARE, PA
Active
Other names
Cornerstone Premier Care
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE E TERRELL (PRESIDENT / CEO)
(336) 802-2400
Entity
Organization
Contact information
Practice address
4515 PREMIER DRIVE, SUITE 402, HIGH POINT, NC 27265-8356
(336) 802-2210
(336) 802-2211
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
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016FX
BCBS
NC
01
—
7765735
AETNA
NC
05
—
89016FX
—
NC
01
—
B0216
MEDCOST
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
01
—
CD8658
RR MEDICARE
NC
01
—
D266
PARTNERS
NC
Enumeration date
03/20/2007
Last updated
05/14/2014
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