Organization
HEALTHSTAT ON-SITE CLINIC/ZEUS- MAGNOLIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN HUTTON (COO)
(704) 529-6161
Entity
Organization
Contact information
Practice address
620 MAGNOLIA ST, ORANGEBURG, SC 29115-6980
(704) 529-6161
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
04/16/2013
Last updated
04/16/2013
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