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Individual

JUSTIN DOUGLAS MITCHELL

Active
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Individual

JUSTIN DOUGLAS MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3834
SC
225100000X
Physical Therapist
6620
NC
225100000X
Physical Therapist
P6620
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0788C
BLUE CROSS BLUE SHIELD NC
NC
01
—
E1570
MEDCOST
—
Enumeration date
03/23/2006
Last updated
08/31/2026
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