Individual
JONATHAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
(678) 604-5548
Mailing address
909 EAGLES LANDING PKWY, SUITE 140-214, STOCKBRIDGE, GA 30281-7247
(678) 604-1053
(678) 604-5548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN466160
GA
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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