Individual
DR. EMIL D MISSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
2024-00170
NC
207RC0000X
Cardiovascular Disease Physician
44767
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065399
—
MT
05
—
0568568
—
IA
01
—
1034881
PREFERRED ONE
—
01
—
171943
UCARE
—
01
—
2032914
ARAZ
—
01
—
25-00021
MEDICA PRIMARY
—
01
—
25-01133
MEDICA CHOICE
—
05
—
34432300
—
WI
05
—
968101900
—
MN
01
—
HP40036
HEALTH PARTNERS
—
Enumeration date
10/31/2006
Last updated
10/03/2024
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