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Individual

DR. GAVIN ISAAC MISNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
911 W HENDERSON ST, SUITE 410, SALISBURY, NC 28144-2736
(704) 637-2750
(704) 637-5514
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 637-2750
(704) 637-5514

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2012-01079
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/19/2007
Last updated
10/25/2020
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