Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacques Mistrot, MD

Individual provider Specialist · NPI 1679801146

Dr. Jacques Mistrot, MD is a Specialist in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3008 Randolph Dr
Raleigh, NC 27609-6942
Phone: (919) 782-7365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 26687 (NC)

Record details

NPI number1679801146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 22, 2009
Last updated in NPPESNovember 22, 2009

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