Organization
MISSION MEDICAL ASSOCIATES INC
Active
Other names
Haywood Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JILL HOGGARD GREEN D.O. (PRESIDENT)
(828) 213-9637
Entity
Organization
Contact information
Practice address
490 HOSPITAL DR, 2ND FLOOR, CLYDE, NC 28721-8026
(828) 456-9006
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915824
—
NC
Enumeration date
06/02/2010
Last updated
08/14/2013
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