Healthcare Provider Details

I. General information

NPI: 1508291741
Provider Name (Legal Business Name): CORNERSTONE HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2013
Last Update Date: 05/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 OLD MILL CIR SUITE A
WINSTON SALEM NC
27103-2973
US

IV. Provider business mailing address

1701 WESTCHESTER DR SUITE 850
HIGH POINT NC
27262-7008
US

V. Phone/Fax

Practice location:
  • Phone: 336-768-0914
  • Fax: 336-760-1896
Mailing address:
  • Phone: 336-802-2400
  • Fax: 336-802-2534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANNE C HILL
Title or Position: BUSINESS SERVICES DIRECTOR
Credential:
Phone: 336-802-2536