Individual
DR. WAJAHAT ALI MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6000 FAIRVIEW RD, SUITE 1200, CHARLOTTE, NC 28210-2224
(803) 556-4207
Mailing address
404 HOGANS RUN, COLUMBIA, SC 29229-3370
(803) 556-4207
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21985
SC
Other
Enumeration date
08/08/2006
Last updated
10/04/2012
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