Statesville Hma Medical Group, LLC

NPI #1457657868 in Statesville, North Carolina

Provider Information

NPI Number: 1457657868
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: Internal Medicine
Enumeration Date: Feb 2, 2011
Last Updated: Jan 14, 2022

Practice Location

Address: 1424 FERN CREEK DR STE D
City: Statesville
State: North Carolina
ZIP Code: 28625-9376
Phone: (704) 838-7080

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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