Statesville Hma Medical Group, LLC
NPI #1811292295 in Statesville, North Carolina
Provider Information
- NPI Number
- 1811292295
- Entity Type
- Organization
- Organization Name
- Statesville Hma Medical Group, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 17, 2011
- Last Updated
- Jan 14, 2022
Practice Location
- Address
- 1414 FERN CREEK DR
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28625
- Phone
- (704) 978-2250
Authorized Official
- Name
- MRS. JENNIFER L JACKSON
- Title
- SR DIR PROV ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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