| Cornerstone Family Practice & Urgent Care, Pllc | |
|
1536 Owen Park Ln Fayetteville NC 28304-3454 | |
| (910) 307-1576 | |
| (910) 500-3117 |
| Full Name | Cornerstone Family Practice & Urgent Care, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1536 Owen Park Ln, Fayetteville, North Carolina |
| Authorized Official Name and Position | Georgia Buckley (PRESIDENT) |
| Authorized Official Contact | 9103071576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Practice & Urgent Care, Pllc Po Box 2376 Bryson City NC 28713-2376 Ph: (910) 302-3801 | Cornerstone Family Practice & Urgent Care, Pllc 1536 Owen Park Ln Fayetteville NC 28304-3454 Ph: (910) 307-1576 |
| NPI Number | 1083087837 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 2264734045 |
|---|---|
| Medicare Enrollment ID | O20160111002450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083087837 | NPI | - | NPPES |
| F766 | Other | NC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Gail Williams-booker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568971083 PECOS PAC ID: 9931465101 Enrollment ID: I20171106000631 |
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