Organization
ST. MARY'S EVERSIDE HEALTH CENTER
Active
Organization
ST. MARY'S EVERSIDE HEALTH CENTER
Active
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
23000 MOAKLEY ST STE 202, LEONARDTOWN, MD 20650-2917
(704) 661-1380
Mailing address
1400 WEWATTA ST STE 350, DENVER, CO 80202-5553
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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