Healthcare Provider Details

I. General information

NPI: 1497020663
Provider Name (Legal Business Name): CORNERSTONE HEALTH CARE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 05/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 2ND AVE NE
HICKORY NC
28601-5045
US

IV. Provider business mailing address

1701 WESTCHESTER DRIVE SUITE 850
HIGH POINT NC
27262-7254
US

V. Phone/Fax

Practice location:
  • Phone: 828-328-2231
  • Fax: 828-323-1562
Mailing address:
  • Phone: 336-802-2536
  • Fax: 336-802-2534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GRACE E TERRELL
Title or Position: PRESIDENT / CEO
Credential:
Phone: 336-802-2400