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Individual

ANITA MISRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1953
(704) 838-8249
(704) 838-8209
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 838-8249
(704) 838-8209

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-01575
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5902444
NC
Enumeration date
07/22/2005
Last updated
03/27/2012
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