Individual
MARY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
908 SUMMIT PARK TRL, MCDONOUGH, GA 30253-7494
(770) 912-3594
Mailing address
908 SUMMIT PARK TRL, MCDONOUGH, GA 30253-7494
(770) 912-3594
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21157801
GA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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