# MISSION MEDICAL ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mission Family Medical - Weaverville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326581786
- **Authorized official:** RHONDA MILLER (VP REVENUE CYCLE OPERATION)
- **Authorized official phone:** (828) 651-4144

## Contact information

- **Practice address:** 63 MONTICELLO RD, WEAVERVILLE, NC 28787-9441
- **Practice address phone:** (828) 645-3066
- **Practice address fax:** (828) 658-3944
- **Mailing address:** PO BOX 602373, CHARLOTTE, NC 28260-2373
- **Mailing address phone:** (828) 213-1500
- **Mailing address fax:** (828) 651-6570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/02/2016
- **Last updated:** 12/05/2016