Healthstat On-site Clinic/milliken Kingsley

NPI 1043645914 - Preventive Medicine - 2083P0500X

NPI Details
NPI 1043645914
Enumeration Date 09/10/2013
Last Updated 09/10/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WARREN WARREN
Position COO
Phone (706) 880-3120
Fax
Practice Location
2598 WASHINGTON RD
THOMSON GA, 30824-6651, US
Phone (706) 880-3120
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/milliken Kingsley NPI is 1043645914, taxonomy code is 2083P0500X Healthstat On-site Clinic/milliken Kingsley physically located at 2598 Washington Rd, Thomson GA, 30824-6651. NPI Number 1033115704 has the healthcare provider type.

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1043645914 NPI number is provided on an as is basis without warranty of any kind. 1043645914 is maintained by the National Plan & Provider Enumeration System. The contents of Healthstat On-site Clinic/milliken Kingsley are for informational purposes only.