Individual
MICHAEL BYRON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 HIGHLAND PKWY, SUITE 200, PICAYUNE, MS 39466-5577
(601) 358-9630
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 358-9630
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20178
MS
2084N0400X
Neurology Physician
26872
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06902001
—
MS
05
—
1365173
—
LA
01
—
9277184
AETNA
MS
Enumeration date
05/17/2007
Last updated
02/23/2021
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