Healthcare Provider Details

I. General information

NPI: 1285659334
Provider Name (Legal Business Name): CORNERSTONE COMPLETE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
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

425 COMMONWEALTH BLVD E
MARTINSVILLE VA
24112-2014
US

V. Phone/Fax

Practice location:
  • Phone: 434-793-0700
  • Fax: 434-793-9315
Mailing address:
  • Phone: 276-632-2226
  • Fax: 276-632-2395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

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