Organization
HEALTHSTAT ONSITE CLINIC GOODYEAR VISION CENTER
Active
Organization
HEALTHSTAT ONSITE CLINIC GOODYEAR VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA SPIVEY (CENTRAL SUPPORT SPECIALIST)
(317) 869-3164
Entity
Organization
Contact information
Practice address
1 GOODYEAR BLVD, LAWTON, OK 73505
(704) 936-5546
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
(704) 935-5546
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
02/18/2025
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