Organization Name: | HEALTHSTAT ONSITE CLINIC SAGE ABBEYVILLE |
NPI Number: | 1013363738 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WARREN HUTTON (COO) |
Mailing Address: | 601 Brooks St Abbeville |
State: | SC US |
Postal Code: | 296202467 |
Phone Number: | 7045296161 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2016 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |