Individual
SONAL MISTRI LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 18TH ST CIRCLE SE, HICKORY, NC 28602
(828) 322-1275
Mailing address
220 18TH ST CIRCLE SE, HICKORY, NC 28602
(828) 322-1275
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101511NC
NC
Other
Enumeration date
05/08/2006
Last updated
10/23/2012
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