MEDICARE: CORNERSTONE MEDICAL CENTER, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548233182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE MEDICAL CENTER, PA

Provider Business Mailing Address
First Line	:	1041 KIRKPATRICK RD
Second Line	:	SUITE 100
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8148
Country	:	US
Telephone Number	:	336-538-0565
Fax Number	:	336-538-0564

Provider Business Practice Location Address
First Line	:	1041 KIRKPATRICK RD
Second Line	:	SUITE 100
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8148
Country	:	US
Telephone Number	:	336-538-0565
Fax Number	:	336-538-0564

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MAE LYNETTE MORRISEY
Credential	:
Telephone Number	:	336-538-0565

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	04/07/2010

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Directions to “CORNERSTONE MEDICAL CENTER, PA ” Practice Location

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