OrganizationActive
Healthstat On-Site Clinic/Unified Brands Jackson
NPI 1376964379 · Preventive Medicine/Occupational Environmental Medicine Physician · Vicksburg, MS
Provider details
- NPI number
- 1376964379
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
88 Armory Rd
Vicksburg, MS 39183-7431
Phone: (989) 644-3331
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr
Charlotte, NC 28217-1956
Other names (DBA / former)
- Doing business as
- Jackson Health and Wellness Center
- Doing business as
- Jackson Health and Wellness Center
Registry dates
- Enumerated
- 2013-12-18
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.