Most Relevant Information
Provider Data
| NPI Number: | 1003226051 |
| Provider Name: | MARIO MITKOV MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 0101266560 |
Most Important Dates
| Enumeration Date: | 04/30/2014 |
| Last Updated: | 07/09/2019 |
Provider Practice Location
3107 BRASSFIELD RD STE 300
GREENSBORO
NC
274102074
Practice Location Phone/Fax
| Phone: | 3365458133 |
| Fax: |
Provider Mailing Location
1450 PROFESSIONAL PARK DR STE 150
WINSTON SALEM
NC
271031307
Provider Mailing Phone/Fax
| Phone: | 3367242434 |
| Fax: | 3366078061 |