Organization
MISSION MEDICAL ASSOCIATES, INC.
Active
Other names
MMA Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
JILL HOGGARD-GREEN PHD (SENIOR VP)
(828) 213-1111
Entity
Organization
Contact information
Practice address
149 W PARKER RD, MORGANTON, NC 28655-4673
(828) 213-4502
(828) 213-4540
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
10/14/2015
Last updated
10/28/2015
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