| Doctor Name: | MS. MISGANA MESFIN |
| NPI Number: | 1487813465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA030536 |
| Business Practice Address: | 6 Doctors Cir Ste 5 Supply, NC - 284626358 |
| Business Phone Number: | 9107545988 |
| Business Fax Number: | |
| Mailing Address: | Po Box 60447, CHARLOTTE |
| State: | NC |
| Postal Code: | 282600447 |
| Phone Number: | 9107545988 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 09/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA030536 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |