Organization
HEALTHSTAT ONSITE CLINIC- MILLIKEN SIVANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN HUTTON (COO)
(704) 529-6161
Entity
Organization
Contact information
Practice address
4044 NE 54TH AVE, GAINESVILLE, FL 32609-1679
(352) 244-2318
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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