Healthcare Provider Details

I. General information

NPI: 1841219292
Provider Name (Legal Business Name): CORNERSTONE COMPLETE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 PINEY FOREST RD SUITE G
DANVILLE VA
24540-4154
US

IV. Provider business mailing address

441 PINEY FOREST RD SUITE G
DANVILLE VA
24540-4154
US

V. Phone/Fax

Practice location:
  • Phone: 434-793-0700
  • Fax: 434-793-9315
Mailing address:
  • Phone: 434-793-0700
  • Fax: 434-793-9315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number2305203865
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number2305006802
License Number StateVA

VIII. Authorized Official

Name: DR. BRIAN ROBBINS
Title or Position: OWNER
Credential: D.C.
Phone: 434-793-0700