Organization Name: | HEALTHSTAT ONSITE CLINIC PARKDALE WILLIAMSTON NC |
NPI Number: | 1093101487 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WARREN HUTTON (COO) |
Mailing Address: | 23213 Nc Highway 125 Suite 300 Williamston |
State: | NC US |
Postal Code: | 278929647 |
Phone Number: | 7045296161 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2015 |
NPI Last Update Date: | 04/13/2015 |
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. |