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Organization
EVERSIDE HEALTH LLC
Active
Organization
EVERSIDE HEALTH LLC
Active
Other names
Teamsters Local 14 Red
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
2831 BUSINESS PARK CT, LAS VEGAS, NV 89128-9007
(702) 844-8143
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
08/11/2022
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