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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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