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Organization
MISSION MEDICAL ASSOCIATES INC
Active
Organization
MISSION MEDICAL ASSOCIATES INC
Active
Other names
Haywood Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JILL HOGGARD GREEN D.O. (PRESIDENT)
(828) 213-9637
Entity
Organization
Contact information
Practice address
490 HOSPITAL DR, 2ND FLOOR, CLYDE, NC 28721-8026
(828) 456-9006
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915824
—
NC
Enumeration date
06/02/2010
Last updated
08/14/2013
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