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Healthstat Onsite Clinic Parkdale Plant 16

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine in Mountain City, TN. Organization (NPI-2).

NPI number1982114716
StatusActive
Last updated in NPPESOct 6, 2017

Details

NPI
1982114716
Entity type
Organization (NPI-2)
Legal business name
Healthstat Onsite Clinic Parkdale Plant 16
Organization subpart
No
Enumeration date
Oct 6, 2017
Last updated
Oct 6, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine––Yes

Practice location

3916 Highway 421 S
Mountain City, TN 37683-2243

Phone 423-727-3659

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Phone 704-935-5546

Authorized official

Jill Johnson Patton
Director Of Risk Management
7049365546

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