Organization
MISSION HOSPITALS INC.
Active
Other names
Mission Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HEILIG (DIST TECH)
(828) 213-0840
Entity
Organization
Contact information
Practice address
348 GRACE CORPENING DR, SUITE A, MARION, NC 28752-5864
(828) 652-8300
Mailing address
PO BOX 15268, ASHEVILLE, NC 28813-0268
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906858
—
NC
Enumeration date
08/27/2007
Last updated
08/27/2007
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