| Cornerstone Family Medicine | |
|
102 Mary Alice Park Rd Suite 503 Cumming GA 30040-2664 | |
| (678) 455-5755 | |
| (678) 455-5756 |
| Full Name | Cornerstone Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Mary Alice Park Rd, Cumming, Georgia |
| Authorized Official Name and Position | Tammy E Finley (OWNER) |
| Authorized Official Contact | 6784555755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Medicine 102 Mary Alice Park Rd Suite 503 Cumming GA 30040-2664 Ph: (678) 455-5755 | Cornerstone Family Medicine 102 Mary Alice Park Rd Suite 503 Cumming GA 30040-2664 Ph: (678) 455-5755 |
| NPI Number | 1134455181 |
|---|---|
| Provider Enumeration Date | 10/27/2009 |
| Last Update Date | 10/03/2012 |
| Medicare PECOS PAC ID | 6406994938 |
|---|---|
| Medicare Enrollment ID | O20091103000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134455181 | NPI | - | NPPES |
| 805507755C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056832 (Georgia) | Primary |
| Provider Name | Tammy E Finley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740208354 PECOS PAC ID: 6800849852 Enrollment ID: I20060125000539 |
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