Mooresville Ppm LLC
NPI #1700028982 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1700028982
- Entity Type
- Organization
- Organization Name
- Mooresville Ppm LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MOORESVILLE PPM LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 2, 2009
- Last Updated
- Jan 14, 2022
Practice Location
- Address
- 131 MEDICAL PARK RD
- Address 2
- SUITE 302
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-8522
- Phone
- (704) 660-4750
Authorized Official
- Name
- MRS. JENNIFER L JACKSON
- Title
- SR DIR PROV ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Hand Surgery — Hand Surgery |
| Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine |
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
| Orthopaedic Surgery |
| Family Medicine - Sports Medicine — Sports Medicine |
| Internal Medicine |
| Pediatrics |
| Pediatrics - Neonatal-Perinatal Medicine — Neonatal-Perinatal Medicine |
| Physical Medicine & Rehabilitation |
| Surgery |
| Physician Assistant |
| Nurse Practitioner |
| Family Medicine |
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