Healthstat INC Ccbcc Charlotte Mini
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine in Charlotte, NC. Organization (NPI-2).
NPI number1164033767
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1164033767
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthstat INC Ccbcc Charlotte Mini
- Organization subpart
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0500X | Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | – | – | Yes |
Practice location
801 Black Satchel RdCharlotte, NC 28216-3453
Phone 980-231-3507
Mailing address
4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone 704-936-5546
Authorized official
Jill Johnson Patton
Director Of Risk Management
7049365546
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