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HEALTHSTAT ON-SITE CLINIC/MILLIKEN CEDAR HILL NPI 1114352143


NPI Information

NPI: 1114352143
Provider Name: HEALTHSTAT ON-SITE CLINIC/MILLIKEN CEDAR HILL
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

CLIA Number: 42D1069142

Address:
225 BOB LITTLE RD
JONESVILLE, SC
ZIP 29353
Phone: (864) 429-2704
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HEALTHSTAT ON-SITE CLINIC/MILLIKEN CEDAR HILL is a preventive medicine/occupational environmental medicine preventive medicine in Jonesville, SC. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. HEALTHSTAT ON-SITE CLINIC/MILLIKEN CEDAR HILL NPI is 1114352143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

225 BOB LITTLE RD
JONESVILLE, SC
ZIP 29353-202
Phone: (864) 429-2704

The provider's authorized official is Warren Hutton .
The authorized official title is Coo and has the following contact phone number (704) 529-6161.

The CLIA number assigned to this NPI record is 42D1069142 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2013 and was last updated on 9/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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