Cornerstone Healthcare Inc.
Organization Active NPI Specialist · Perry, GA
NPI 1821383373 · NPPES record last updated Jun 13, 2011
Key facts
- NPI
- 1821383373
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CORNERSTONE HEALTHCARE INC.
- Practice address
- 1020 Keith Dr
Perry, GA 31069-2947 - Phone
- (478) 224-2209
- Fax
- (478) 987-6918
- NPI assigned
- Jun 13, 2011
- Organization subpart
- No
Authorized official
- Name
- David A Wolk
- Title
- Owner
- Phone
- (478) 224-2209
Practitioners 2
-
Leigh Wolk, D.P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110629000801 | GA | Part B Supplier - Clinic/Group Practice | 8022296680 |
Receives reassigned benefits from 2 practitioners Practice locations: Perry, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
1020 Keith Dr
Perry, GA 31069-2947
Mailing address
1020 Keith Dr
Perry, GA 31069-2947
Phone (478) 224-2209
Other names
- Perry Spine and Wellness
Other providers in Perry, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.