Organization
STATESVILLE HMA MEDICAL GROUP, LLC
Active
Parent organization
STATESVILLE HMA MEDICAL GROUP LLC
Other names
Carolina Urology Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATESVILLE HMA MEDICAL GROUP LLC
Authorized official
MRS. JENNIFER L JACKSON (SIR DIR PROV ENROLLMENT & ONBOARDIN)
(615) 465-3334
Entity
Organization
Contact information
Practice address
1424 FERN CREEK DR, SUITE B, STATESVILLE, NC 28625-9376
(704) 662-9870
(704) 662-9788
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(615) 465-7230
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
01/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us