Organization
MAMASSIST MANAGEMENT, INC
Active
Other names
Mamassist Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L HOGLUND (PRESIDENT)
(704) 872-3265
Entity
Organization
Contact information
Practice address
164 BAYMOUNT DRIVE, STATESVILLE, NC 28625
(704) 872-3265
(704) 872-5823
Mailing address
164 BAYMOUNT DRIVE, STATESVILLE, NC 28625
(704) 872-3265
(704) 872-5823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Enumeration date
11/27/2006
Last updated
07/14/2008
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