| Cornerstone Medical | |
|
7704 England St Charlotte NC 28273-5954 | |
| (704) 551-4151 | |
| (704) 551-4114 |
| Full Name | Cornerstone Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 7704 England St, Charlotte, North Carolina |
| Authorized Official Name and Position | Darlington I Hart (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7045510883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Medical 7704 England St Charlotte NC 28273-5954 Ph: (704) 551-0883 | Cornerstone Medical 7704 England St Charlotte NC 28273-5954 Ph: (704) 551-4151 |
| NPI Number | 1043210099 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 01/13/2015 |
| Medicare PECOS PAC ID | 8628020062 |
|---|---|
| Medicare Enrollment ID | O20050215000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043210099 | NPI | - | NPPES |
| 89014VC | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9800560 (North Carolina) | Primary |
| Provider Name | Darlington I Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154321164 PECOS PAC ID: 5193784668 Enrollment ID: I20050217000481 |
| Provider Name | Eomba Pungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174047070 PECOS PAC ID: 5092070029 Enrollment ID: I20180522003229 |
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