# MISSION MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tallulah Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497068449
- **Authorized official:** JILL HOGGARD GREEN PHD (PRESIDENT)
- **Authorized official phone:** (828) 213-9637

## Contact information

- **Practice address:** 409 TALLULAH RD, ROBBINSVILLE, NC 28771-8500
- **Practice address phone:** (828) 479-6434
- **Mailing address:** PO BOX 602373, CHARLOTTE, NC 28260-2373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2010
- **Last updated:** 07/24/2013