Individual
ERIC QUENTIN MIZELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3737 GLENWOOD AVE, SUITE 100, RALEIGH, NC 27612-5515
(919) 561-7999
(919) 400-4395
Mailing address
3737 GLENWOOD AVE, SUITE 100, RALEIGH, NC 27612-5515
(919) 561-7999
(919) 400-4395
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2008-01971
NC
Other
Enumeration date
01/19/2007
Last updated
09/10/2013
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