Organization
HEALTHSTAT ON-SITE CLINIC/WESTERN GROWERS (2ND LOCATION)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN HUTTON (COO)
(704) 529-6161
Entity
Organization
Contact information
Practice address
1414 S MILLER ST, SUITE P, SANTA MARIA, CA 93454-6923
(831) 422-0230
Mailing address
4651 CHARLOTTE PARK DR, SUITE 300, CHARLOTTE, NC 28217-1956
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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