Statesville Hma Medical Group LLC
Statesville Hma Medical Group LLC provides Pediatric Adolescent Medicine Physician services in Statesville, North Carolina. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1410 Fern Creek DrStatesville, NC 28625-9376
Phone: (704) 978-2379
Fax: (704) 978-2380
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X |
|---|
Record details
| NPI number | 1730551714 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Statesville Hma Medical Group LLC |
| Authorized official | Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334 |
| Other names | Carolina Pediatric And Adolescent Medicine; Carolina Pediatric And Adolescent Medicine |
| NPI enumerated | October 29, 2015 |
| Last updated in NPPES | January 14, 2022 |
| Certification date | January 14, 2022 |
| Mailing address | 4000 Meridian Blvd, Franklin, TN 37067-6325 |