Organization
ALI LUNG CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIR MUSTAFA ALI M.D. (PRESIDENT)
(919) 205-1627
Entity
Organization
Contact information
Practice address
706 WILKINS ST, STE C, SMITHFIELD, NC 27577-4662
(919) 205-1627
(919) 205-1686
Mailing address
706 WILKINS ST, STE C, SMITHFIELD, NC 27577-4662
(919) 205-1627
(919) 205-1686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2014-01985
NC
Other
Enumeration date
12/16/2015
Last updated
04/05/2016
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