Statesville Hma Medical Group, LLC

NPI #1497031314 in Statesville, North Carolina

Provider Information

NPI Number
1497031314
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 - Cardiovascular Disease
Enumeration Date
Oct 24, 2011
Last Updated
Jan 14, 2022

Practice Location

Address
349 BROOKDALE DR
ZIP Code
28677-4103
Phone
(704) 878-2058

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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