Organization
EVERSIDE HEALTH LLC -TEAMSTERS 727 WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
2550 OAK PARK AVE, BERWYN, IL 60402-4661
(085) 757-6757
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
11/28/2022
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