Gonzales, Mia Davielle

Gonzales, Mia Davielle is an individual health care provider with primary practice located at 521 Moye Blvd , Greenville NC 27834-2849. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Gonzales, Mia Davielle can be contacted via phone (252) 744-1600.

Contact Information

Primary practice address
521 Moye Blvd Greenville NC 27834-2849
Phone: (252) 744-1600
Fax: (252) 744-1115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2020-00026 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2020-00026 North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2020-00026 North Carolina

Profile Details

NPI number 1598292674
LBN Legal business name Gonzales, Mia Davielle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2017
Last updated Nov 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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