Individual
MITCHELL NEWTON NETTLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-9822
(812) 325-3735
Mailing address
871 3RD ST NW APT 1611, ATLANTA, GA 30318-6067
(812) 325-3735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002860A
IN
363A00000X
Physician Assistant
Primary
10317
GA
Other
Enumeration date
11/18/2019
Last updated
06/15/2021
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