Organization
MISSION MEDICAL ASSOCIATES INC
Active
Other names
MMA Pediatric Inpatient Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JILL HOGGARD GREEN PHD (PRESIDENT)
(828) 213-9637
Entity
Organization
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-1751
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
08/26/2009
Last updated
07/24/2013
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