Individual
DR. GREGORY C. MITRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
229 MOCKSVILLE AVE, SALISBURY, NC 28144-3325
(704) 797-8820
(704) 210-6877
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
200000550
NC
2085R0001X
Radiation Oncology Physician
22609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1254X
BLUE CROSS
NC
01
—
2145532
UNITED HEALTHCARE
—
01
—
44131
PARTNERS
—
05
—
891254X
—
NC
01
—
9354064004
CIGNA
—
01
—
A7859
MEDCOST
—
05
—
N00554
—
SC
Enumeration date
03/20/2006
Last updated
12/19/2012
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