Individual
SEMIR MUJEZINOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4321
Mailing address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04982
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2018
Last updated
11/18/2021
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