Organization
MISSION HOSPITALS INC
Active
Other names
Wound Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R HATHAWAY MD (CMO)
(828) 213-0499
Entity
Organization
Contact information
Practice address
31 E MEDICAL CT, SUITE 2, MARION, NC 28752-4969
(828) 652-3595
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 651-6474
(828) 681-1575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285P
BCBS
NC
05
—
5901180
—
NC
Enumeration date
10/14/2008
Last updated
02/26/2014
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