NPI 1023749009
Everside Health Sti-Stateboro
Practice location
- Address
- 27 East Vine Street, Statesboro, GA 30458-0850
- Phone
- (704) 529-6161
- Mailing address
- 4651 Charlotte Park Dr STE 300, Charlotte, NC 28217-1916
Authorised official
- Name
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Registered specialties
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
Registry record
- NPI
- 1023749009
- Entity type
- Organization
- NPI issued
- 21 Jun 2022
- Record last updated
- 31 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.