Cornerstone Private Practice | |
5849 Harbour View Blvd Suite 250 Suffolk VA 23435-3768 | |
(757) 337-4018 | |
(757) 337-4019 |
Full Name | Cornerstone Private Practice |
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Speciality | Internal Medicine |
Location | 5849 Harbour View Blvd, Suffolk, Virginia |
Authorized Official Name and Position | Christopher Dowd (PRESIDENT) |
Authorized Official Contact | 7573374018 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cornerstone Private Practice 1024 Centerbrooke Ln Suite F, Pmb 412 Suffolk VA 23434-8291 Ph: (757) 337-4018 | Cornerstone Private Practice 5849 Harbour View Blvd Suite 250 Suffolk VA 23435-3768 Ph: (757) 337-4018 |
NPI Number | 1386999308 |
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Provider Enumeration Date | 07/16/2012 |
Last Update Date | 07/16/2012 |
Identifier | Type | State | Issuer |
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1386999308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0102201644 (Virginia) | Primary |
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