Organization
EVERSIDE HEALTH-QUEEN ANNE'S HEALTH 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
2977 4H PARK RD STE 202, CENTREVILLE, MD 21617-2232
(410) 989-9859
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
(704) 936-5546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
09/07/2023
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