Statesville Hma Medical Group, LLC

NPI #1346524394 in Thomasville, North Carolina

Provider Information

NPI Number: 1346524394
Entity Type: Organization
Organization Name: Statesville Hma Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: STATESVILLE HMA MEDICAL GROUP LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 7, 2011
Last Updated: Jan 14, 2022

Practice Location

Address: 211 OLD LEXINGTON RD
City: Thomasville
State: North Carolina
ZIP Code: 27360-3428
Phone: (336) 475-0200

Authorized Official

Name: MRS. JENNIFER L JACKSON
Title: SR DIR PROV ENROLLMENT & ONBOARDING
Phone: (615) 465-3334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Hand Surgery — Hand Surgery	207XS0106X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Physical Therapist	225100000X
Physician Assistant	363A00000X
Orthopaedic Surgery	207X00000X	Primary

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