Organization
HEALTHSTAT ONSITE CLINIC MVM WARE SHOALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN HUTTON (COO)
(704) 529-6161
Entity
Organization
Contact information
Practice address
219 MCLANE AVE, WARE SHOALS, SC 29692-1355
(704) 529-6161
Mailing address
4651 CHARLOTTE PARK DR, SUITE 300, CHARLOTTE, NC 28217-1956
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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