Healthstat On-site Clinic/city Of Georgetown

NPI 1063765170 - Preventive Medicine - 2083P0500X

NPI Details
NPI 1063765170
Enumeration Date 10/26/2012
Last Updated 10/26/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name WARREN WARREN
Position COO
Phone (843) 545-4005
Fax
Practice Location
120 N FRASER ST
GEORGETOWN SC, 29440-3254, US
Phone (843) 545-4005
Fax
Business Location
4651 CHARLOTTE PARK DR
SUITE 300
CHARLOTTE NC, 28217-1956, US
Phone
Fax
Toxanomy
Taxonomy Code 2083P0500X
License State
License Number
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According to our database, Healthstat On-site Clinic/city Of Georgetown NPI is 1063765170, taxonomy code is 2083P0500X Healthstat On-site Clinic/city Of Georgetown physically located at 120 N Fraser St, Georgetown SC, 29440-3254. NPI Number 1033115704 has the healthcare provider type.

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1063765170 NPI number is provided on an as is basis without warranty of any kind. 1063765170 is maintained by the National Plan & Provider Enumeration System. The contents of Healthstat On-site Clinic/city Of Georgetown are for informational purposes only.