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Organization

MISSION MEDICAL ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL HOGGARD GREEN (PRESIDENT)
(828) 213-8074
Entity
Organization

Contact information

Practice address
310 LONG SHOALS ROAD, SUITE 310, ARDEN, NC 28704
(828) 213-8235
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 651-6474

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QG0300X
Geriatric Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
208800000X
Urology Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
05/13/2014
Last updated
04/16/2018
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