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Organization

MISSION MEDICAL ASSOCIATES INC

Active
Other names
MMA PSYCHIATRIC SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
JILL HOGGARD GREEN PHD (PRESIDENT)
(828) 213-9637
Entity
Organization

Contact information

Practice address
288 S RIDGECREST AVE, RUTHERFORDTON, NC 28139-2838
(828) 286-5000
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 250-2833

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
11/10/2011
Last updated
07/24/2013
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