Organization
HEALTHSTAT ONSITE CLINIC PARKDALE PLANT 40
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
418 ASCAUGA LAKE RD, GRANITEVILLE, SC 29829-3528
(803) 663-3827
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
(704) 935-5546
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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