Organization
EVERSIDE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA SPIVEY (IMPLEMENTATION AND ONBOARDING COORD)
(317) 869-3164
Entity
Organization
Contact information
Practice address
4755 WALDEN LN, LANHAM, MD 20706-4898
(240) 436-2840
(240) 436-2842
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
03/29/2024
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