Organization
CORNERSTONE HEALTH CARE PA
Active
Parent organization
MEDVANTX, INC.
Other names
Cornerstone Family Medicine at Archdale
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1508
Entity
Organization
Contact information
Practice address
10188 N MAIN ST, ARCHDALE, NC 27263-2906
(336) 802-2070
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
2014-01181
NC
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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