Individual
DR. MIR MUMTAZ ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
706 WILKINS ST STE A, SMITHFIELD, NC 27577-4662
(919) 989-1800
(919) 989-1802
Mailing address
706 WILKINS ST STE A, SMITHFIELD, NC 27577-4662
(919) 989-1800
(919) 989-1802
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136U4
—
NC
Enumeration date
02/05/2007
Last updated
07/09/2007
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