Organization
EVERSIDE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OR RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
11990 GRANT ST STE 100, NORTHGLENN, CO 80233-5156
(866) 808-6005
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
10/15/2020
Last updated
07/28/2022
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