NPI | 1720103609 |
---|---|
Doing Business As | CORNERSTONE CONVENIENCE CARE CLINIC AT PREMIER |
Entity Type | Organization |
Authorized Contact | GRACE E TERRELL President / CEO 336-802-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2007-03-20 |
Last Update Date | 2014-11-03 |