NPI | 1235474701 |
---|---|
Doing Business As | WARREN STACKS MD A CORNERSTONE PRACTICE |
Entity Type | Organization |
Authorized Contact | GRACE E TERRELL President/CEO 336-802-2536 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-12-10 |
Last Update Date | 2014-05-15 |