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STATESVILLE HMA MEDICAL GROUP LLC NPI 1811292295


NPI Information

NPI: 1811292295
Provider Name: STATESVILLE HMA MEDICAL GROUP, LLC

Doing Business As: DAVIS FAMILY MEDICINE CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1414 FERN CREEK DR
STATESVILLE, NC
ZIP 28625
Phone: (704) 978-2250
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STATESVILLE HMA MEDICAL GROUP, LLC is a family medicine in Statesville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. STATESVILLE HMA MEDICAL GROUP, LLC NPI is 1811292295. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Davis Family Medicine Center.

The provider's business location address is:

1414 FERN CREEK DR
STATESVILLE, NC
ZIP 28625
Phone: (704) 978-2250
Fax: (704) 978-2257

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 1/17/2011 and was last updated on 1/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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