Individual
ERNEST N MISTR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 BOILING SPRINGS RD, SUITE 1300, SPARTANBURG, SC 29303-4201
(864) 560-6345
Mailing address
317 WATERCREST DR, INMAN, SC 29349-6940
(864) 592-9358
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17303
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101018666
MEDICAL LICENSE NUMBER
VA
01
—
17303
MEDICAL LICENSE NUMBER
SC
05
—
T11458
—
SC
Enumeration date
02/02/2006
Last updated
09/16/2010
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