Mission Health Community Multispecialty Providers, Llc | |
310 Long Shoals Rd Ste 110 Arden NC 28704-8794 | |
(828) 213-1740 | |
Not Available |
Full Name | Mission Health Community Multispecialty Providers, Llc |
---|---|
Speciality | Internal Medicine |
Location | 310 Long Shoals Rd Ste 110, Arden, North Carolina |
Authorized Official Name and Position | Tedrick Johnson (GROUP VICE PRESIDENT) |
Authorized Official Contact | 6153723375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mission Health Community Multispecialty Providers, Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Mission Health Community Multispecialty Providers, Llc 310 Long Shoals Rd Ste 110 Arden NC 28704-8794 Ph: (828) 213-1740 |
NPI Number | 1366912586 |
---|---|
Provider Enumeration Date | 11/30/2018 |
Last Update Date | 05/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366912586 | NPI | - | NPPES |
02CG9 | Other | NC | BC/BS NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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