Healthstat Onsite Clinic Ethan Allen is a health care provider in Charlotte, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||24 Salem Church Rd, Maiden, NC 28650-8363, US|
|Practice Location Phone||704-529-6161|
|Practice Location Fax|
|Legal Business Name||HEALTHSTAT ONSITE CLINIC ETHAN ALLEN|
|Enumeration Date ?||Oct 11, 2016|
|Last Update Date ?||Oct 11, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Preventive Medicine||Allopathic & Osteopathic Physicians||Preventive Medicine/Occupational Environmental Medicine|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Healthstat Onsite Clinic Ethan Allen's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Warren Hutton|
|Authorized Official Title/Position||COO|
|Authorized Official Phone Number||704-529-6161|