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Organization
MISSION MEDICAL ASSOCIATES INC
Active
Organization
MISSION MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL HOGGARD GREEN (PRESIDENT)
(828) 213-8074
Entity
Organization
Contact information
Practice address
310 LONG SHOALS ROAD, SUITE 310, ARDEN, NC 28704
(828) 213-8235
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 651-6474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/13/2014
Last updated
04/16/2018
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