HEALTHSTAT ONSITE CLINIC HORRY COUNTY NPI 1740712389

NPI Information

HEALTHSTAT ONSITE CLINIC HORRY COUNTY is a preventive medicine/occupational environmental medicine preventive medicine in Conway, 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 ONSITE CLINIC HORRY COUNTY NPI is 1740712389. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

128 PROFESSIONAL PARK DR
SUITE HEALTHSTAT CLINIC
CONWAY, SC
ZIP 29526-260
Phone: (704) 529-6161

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 11D1073391 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2017 and was last updated on 4/3/2017.

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:

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