Individual
MS. AMY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, HR-05 ATTN: BUSH-TROTTER, DECATUR, GA 30033-4004
(404) 421-6111
Mailing address
PO BOX 736, ATLANTA, GA 30301-0736
(404) 312-6111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN079084
GA
Other
Enumeration date
07/10/2013
Last updated
08/08/2014
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