Individual
DR. CHRISTOPHER B MIZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
941 NEWMAN RD, NEW BERN, NC 28562-5252
(252) 752-4124
(252) 758-8954
Mailing address
420 SPRING FOREST RD, GREENVILLE, NC 27834-7244
(252) 752-4124
(252) 758-8954
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1364J
BLUE CROSS BLUE SHIELD
NC
05
—
891364J
—
NC
01
—
D3305
MEDCOST NC
NC
01
—
P00186495
RAILROAD MEDICARE
NC
Enumeration date
08/07/2006
Last updated
01/24/2008
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