# MISSION MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haywood Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760702682
- **Authorized official:** JILL HOGGARD GREEN D.O. (PRESIDENT)
- **Authorized official phone:** (828) 213-9637

## Contact information

- **Practice address:** 490 HOSPITAL DR, 2ND FLOOR, CLYDE, NC 28721-8026
- **Practice address phone:** (828) 456-9006
- **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:** 06/02/2010
- **Last updated:** 08/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5915824 | — | NC |