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Organization
STATESVILLE HMA MEDICAL GROUP, LLC
Active
Organization
STATESVILLE HMA MEDICAL GROUP, LLC
Active
Other names
Davis Medical Group Family Practice Stony Point
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SR DIR PROV ENROLLMENT & ONBAORDING)
(615) 465-3334
Entity
Organization
Contact information
Practice address
35 RURITAN PARK RD, STONY POINT, NC 28678-8928
(704) 585-9373
(704) 585-9397
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(615) 465-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101815
NC
Other
Enumeration date
05/11/2017
Last updated
01/14/2022
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