Individual
MIROSLAV GAVAZOV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
861 BERKSHIRE RD, SMITHFIELD, NC 27577-4728
(919) 934-0985
Mailing address
316 ASHLEY FOREST DR, CHAPEL HILL, NC 27514-5411
(919) 933-6285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9700253
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891082G
—
NC
Enumeration date
11/30/2005
Last updated
07/08/2007
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