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HEALTHSTAT ON-SITE CLINIC/MILLIKEN KINGSLEY NPI 1043645914


NPI Information

NPI: 1043645914
Provider Name: HEALTHSTAT ON-SITE CLINIC/MILLIKEN KINGSLEY
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
2598 WASHINGTON RD
THOMSON, GA
ZIP 30824
Phone: (706) 880-3120
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HEALTHSTAT ON-SITE CLINIC/MILLIKEN KINGSLEY is a preventive medicine/occupational environmental medicine preventive medicine in Thomson, GA. 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 KINGSLEY NPI is 1043645914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2598 WASHINGTON RD
THOMSON, GA
ZIP 30824-651
Phone: (706) 880-3120

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 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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