Organization
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
Active
Organization
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
Active
Parent organization
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
Authorized official
TEDRICK JOHNSON (GROUP VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
310 LONG SHOALS RD STE 110, ARDEN, NC 28704-8794
(828) 213-1740
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
(866) 366-1426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02CG9
BC/BS NC
NC
Enumeration date
11/30/2018
Last updated
08/07/2026
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