Individual
DR. KOMAL IMTIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 DOCTORS DR STE B, KINSTON, NC 28501-1584
(252) 559-2200
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2024-03166
NC
Other
Enumeration date
06/23/2017
Last updated
12/10/2024
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