Statesville Hma Medical Group, LLC

NPI #1801163167 in Statesville, North Carolina

Provider Information

NPI Number
1801163167
Entity Type
Organization
Organization Name
Statesville Hma Medical Group, LLC
Primary Specialty
Family Medicine
Enumeration Date
Nov 30, 2011
Last Updated
Jan 14, 2022

Practice Location

Address
1414 FERN CREEK DR
ZIP Code
28625-9376
Phone
(704) 873-7012

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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