Organization
EVERSIDE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
4624 PROGRESS DR STE A, DAVENPORT, IA 52807-3490
(563) 559-7265
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
08/12/2022
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