Statesville Hma Medical Group, LLC
NPI #1710261151 in Statesville, North Carolina
Provider Information
- NPI Number
- 1710261151
- 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
- Obstetrics & Gynecology
- Enumeration Date
- Oct 4, 2011
- Last Updated
- Jan 14, 2022
Practice Location
- Address
- 1410 FERN CREEK DR
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28625-9376
- Phone
- (704) 978-2820
Authorized Official
- Name
- MRS. JENNIFER L JACKSON
- Title
- SR DIR PROV ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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