Organization Name: | STATESVILLE HMA MEDICAL GROUP, LLC |
NPI Number: | 1871877829 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL L GINGRAS (VICE PRESIDENT) |
Mailing Address: | 375 Hospital St Suite 200 Mocksville |
State: | NC US |
Postal Code: | 270282086 |
Phone Number: | 3367512121 |
Fax Number: | 3367512123 |
NPI Enumeration Date: | 10/07/2011 |
NPI Last Update Date: | 11/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |