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Individual

DR. MITCHELL GARETH ISAAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
145 KIMEL PARK DR, SUITE 100, WINSTON SALEM, NC 27103-7254
(336) 768-6347
(336) 760-9393
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2534

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2007-00262
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5909276
NC
Enumeration date
05/11/2007
Last updated
03/04/2011
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