Individual
DR. CARTER WALLACE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18109 PRINCE PHILIP DR, SUITE 325, OLNEY, MD 20832-1519
(301) 774-8958
(301) 774-8959
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0067371
MD
Other
Enumeration date
06/22/2007
Last updated
03/12/2012
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