Statesville Hma Medical Group, LLC

NPI #1548796584 in Stony Point, North Carolina

Provider Information

NPI Number
1548796584
Entity Type
Organization
Organization Name
Statesville Hma Medical Group, LLC
Primary Specialty
Family Medicine
Enumeration Date
May 11, 2017
Last Updated
Jan 14, 2022

Practice Location

Address
35 RURITAN PARK RD
ZIP Code
28678-8928
Phone
(704) 585-9373

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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