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Healthstat Onsite Clinic MVM Ware Shoals

Organization Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Ware Shoals, SC

NPI 1821471236 · NPPES record last updated Jul 2, 2015

Key facts

NPI
1821471236
Entity type
Organization (NPI type 2)
Primary specialty
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
Legal business name
HEALTHSTAT ONSITE CLINIC MVM WARE SHOALS
Practice address
219 McLane Ave
Ware Shoals, SC 29692-1355
Phone
(704) 529-6161
NPI assigned
Jul 2, 2015
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 19

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

219 McLane Ave
Ware Shoals, SC 29692

Specialties & licenses

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

Addresses

Primary practice location

219 McLane Ave
Ware Shoals, SC 29692-1355

Mailing address

4651 Charlotte Park Dr
Suite 300
Charlotte, NC 28217-1956

Other providers in Ware Shoals, SC

All providers in Ware Shoals, SC · Preventive Medicine/Occupational Environmental Medicine Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.