NPI | 1619225778 |
---|---|
Doing Business As | CORNERSTONE CARE OUTREACH CLINIC |
Entity Type | Organization |
Authorized Contact | CHARLES DOUGLAS MATHIS Chief Administrative Officer 336-802-2536 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-08-21 |
Last Update Date | 2016-11-07 |