Healthcare Provider Details

I. General information

NPI: 1124353198
Provider Name (Legal Business Name): CORNERSTONE INTERNAL MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2703 JONES FRANKLIN RD STE 101
CARY NC
27518-7172
US

IV. Provider business mailing address

2703 JONES FRANKLIN RD STE 101
CARY NC
27518-7172
US

V. Phone/Fax

Practice location:
  • Phone: 919-854-2006
  • Fax: 919-481-3637
Mailing address:
  • Phone: 919-854-2006
  • Fax: 919-481-3637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. YU LIU
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 919-854-2006