Healthstat Onsite Clinic Parkdale Leesburg Al

Organization Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Leesburg, AL

NPI 1508252909 · NPPES record last updated Apr 13, 2015

Key facts

NPI
1508252909
Entity type
Organization (NPI type 2)
Primary specialty
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
Legal business name
HEALTHSTAT ONSITE CLINIC PARKDALE LEESBURG AL
Practice address
400 Industrial Blvd
Leesburg, AL 35983-3745
Phone
(704) 529-6161
NPI assigned
Apr 13, 2015
Organization subpart
No

Authorized official

Name
Warren Hutton
Title
Coo
Phone
(704) 529-6161

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Healthstat on-Site Clinicmilliken Kex (237 organizations share this tax ID)

Locations

400 Industrial Blvd
Leesburg, AL 35983
Phone (256) 526-8875

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2083P0500X Yes

Addresses

Primary practice location

400 Industrial Blvd
Leesburg, AL 35983-3745

Mailing address

4651 Charlotte Park Dr
Suite 300
Charlotte, NC 28217-1956
Phone (704) 529-6161

Other providers in Leesburg, AL

All providers in Leesburg, AL · Preventive Medicine/Occupational Environmental Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.