Organization
EVERSIDE HEALTH CENTER-MICHELIN ARDMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
1105 MICHELIN RD, ARDMORE, OK 73401-1085
(580) 224-8750
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
(704) 936-5546
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
12/01/2021
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