Organization
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES FALLON CPCS (MEDICAL STAFF COORDINATOR)
(704) 660-4012
Entity
Organization
Contact information
Practice address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4000
Mailing address
PO BOX 3250, MOORESVILLE, NC 28117-3250
(704) 660-4012
(704) 660-4049
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
H0259
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000313
—
NC
Enumeration date
03/05/2007
Last updated
11/20/2008
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