Healthstat Onsite Clinic Mosaic Faustina

NPI 1093105025 - Preventive Medicine - 2083P0500X

NPI Details
NPI 1093105025
Enumeration Date 01/29/2015
Last Updated 01/29/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name WARREN WARREN
Position COO
Phone (704) 529-6161
Fax
Practice Location
9959 HIGHWAY 18
SAINT JAMES LA, 70086-7652, US
Phone (704) 529-6161
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 Onsite Clinic Mosaic Faustina NPI is 1093105025, taxonomy code is 2083P0500X Healthstat Onsite Clinic Mosaic Faustina physically located at 9959 Highway 18, Saint James LA, 70086-7652. NPI Number 1033115704 has the healthcare provider type.

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1093105025 NPI number is provided on an as is basis without warranty of any kind. 1093105025 is maintained by the National Plan & Provider Enumeration System. The contents of Healthstat Onsite Clinic Mosaic Faustina are for informational purposes only.