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CORNERSTONE MEDICAL GROUP PC NPI 1275515967


NPI Information

NPI: 1275515967
Provider Name: CORNERSTONE MEDICAL GROUP PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0693402

Address:
1107 MEMORIAL DR
SUITE 300
DALTON, GA
ZIP 30720
Phone: (706) 226-3139
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CORNERSTONE MEDICAL GROUP PC is a family medicine in Dalton, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CORNERSTONE MEDICAL GROUP PC NPI is 1275515967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1107 MEMORIAL DR
SUITE 300
DALTON, GA
ZIP 30720-662
Phone: (706) 226-3139
Fax: (706) 278-6606

The provider's authorized official is Anne Richmond .
The authorized official title is Billing Office Manager and has the following contact phone number (706) 226-3139.

The CLIA number assigned to this NPI record is 11D0693402 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 12/17/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D39425MEDICARE UPINGEORGIA
2R98877MEDICARE UPINGEORGIA
3D31264MEDICARE UPINGEORGIA
4F42126MEDICARE UPINGEORGIA
5H04272MEDICARE UPINGEORGIA
6H04273MEDICARE UPINGEORGIA
7G54823MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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