Statesville Hma Medical Group Llc
Pediatric Adolescent Medicine
Statesville Hma Medical Group Llc is a Statesville, North Carolina based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Statesville Hma Medical Group Llc is doing business as
Carolina Pediatric And Adolescent Medicine.
It is located at
1410 Fern Creek Dr, Statesville, North Carolina - 28625-9376. They can be contacted on phone at
704-978-2379 and fax number 704-978-2380.
NPI number (Unique professional ID) for Statesville Hma Medical Group Llc is
1730551714 which was assigned by NPPES on 29 Oct, 2015 and it was last updated on 14 Jan, 2022.
Statesville Hma Medical Group Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Statesville Hma Medical Group Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Statesville Hma Medical Group Llc |
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| Other Name : | Carolina Pediatric And Adolescent Medicine |
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Business Address:
Statesville Hma Medical Group Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1410 Fern Creek Dr
Statesville, NC, 28625-9376
United States |
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| Phone Number : | 704-978-2379 |
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| Fax Number : | 704-978-2380 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730551714 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Oct, 2015 |
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| Last Updated On : | 14 Jan, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jennifer Jackson |
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| Official Title or Position : | SR DIR PROV ENROLLMENT & ONBOARDING |
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| Phone Number : | 615-465-3334 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Statesville Hma Medical Group Llc are as mentioned. Primary taxonomy code for Statesville Hma Medical Group Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4000 Meridian Blvd
Franklin, TN, 37067-6325
United States |
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| Phone Number : | 615-465-7230 |
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Business Location:
Patients can refer following map for directions to
Statesville Hma Medical Group Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.