Organization
HEALTHSTAT ON-SITE CLINIC/EBRSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN HUTTON (COO)
(704) 529-6161
Entity
Organization
Contact information
Practice address
2891 ROSENWALD RD, BATON ROUGE, LA 70807-4451
(225) 355-1253
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
11/06/2013
Last updated
11/06/2013
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