Organization
OCCUMEDIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER CLAYTON JENKINS (MANAGER)
(704) 530-4445
Entity
Organization
Contact information
Practice address
227 W 4TH ST, CHARLOTTE, NC 28202-1545
(980) 223-5849
Mailing address
PO BOX 18264, CHARLOTTE, NC 28218-0264
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/29/2021
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