Individual
PAMELA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 OAKWOOD DR, LOUISVILLE, GA 30434-3865
(478) 625-0432
Mailing address
1502 OAKWOOD DR, LOUISVILLE, GA 30434-3865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN155228
GA
Other
Enumeration date
06/07/2015
Last updated
06/07/2015
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