Organization
MISSION MEDICAL ASSOCIATES, INC.
Active
Other names
MMA Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL HOGGARD-GREEN PHD (SENIOR VP)
(828) 213-1111
Entity
Organization
Contact information
Practice address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 213-1740
(828) 213-1742
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
—
NC
2084P0804X
Child & Adolescent Psychiatry Physician
—
NC
Other
Enumeration date
10/14/2015
Last updated
10/28/2015
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