Individual
HUNAIZA MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3318
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032920
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004292170
—
GA
01
—
89BDOLP
MEDICARE
GA
01
—
E27511
UPIN
GA
Enumeration date
02/19/2015
Last updated
02/19/2015
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