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Dr. Mira Boone, MD

Hospitalist in North Wilkesboro, NC. Individual provider (NPI-1).

NPI number1053511642
StatusActive
Last updated in NPPESMay 8, 2018

Details

NPI
1053511642
Entity type
Individual (NPI-1)
Name
Dr. Mira Boone
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2007
Last updated
May 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist2008-00571NCYes
207Q00000X Family Medicine2008-00571NC
207R00000X Internal Medicine2008-00571NC

Practice location

1534 W D St
North Wilkesboro, NC 28659-3528

Phone 336-667-4178 · Fax 336-667-0938

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Phone 336-716-5599 · Fax 336-716-3202

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