Organization
CORNERSTONE HEALTH CARE PA
Active
Other names
Cornerstone Imaging at Brookview Hills
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE E TERRELL MD (PRESIDENT / CEO)
(336) 802-2400
Entity
Organization
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD, SUITE 102, WINSTON SALEM, NC 27103-5661
(336) 760-1448
(336) 760-1478
Mailing address
1701 WESTCHESTER DRIVE, SUIE 850, HIGH POINT, NC 27262-7254
(336) 802-2536
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019YT
BCBS GROUP
NC
05
—
5908988
—
NC
01
—
CB8658
RR MEDICARE
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
Enumeration date
01/28/2008
Last updated
11/02/2012
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