Mission Health Community Multispecialty Providers, LLC
NPI #1366912586 in Arden, North Carolina
Provider Information
- NPI Number
- 1366912586
- Entity Type
- Organization
- Organization Name
- Mission Health Community Multispecialty Providers, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 30, 2018
- Last Updated
- May 15, 2020
Practice Location
- Address
- 310 LONG SHOALS RD STE 110
- City
- Arden
- State
- North Carolina
- ZIP Code
- 28704-8794
- Phone
- (828) 213-1740
Authorized Official
- Name
- TEDRICK JOHNSON
- Title
- GROUP VICE PRESIDENT
- Phone
- (615) 372-3375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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