Individual
TYLER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1269 BARCLAY CIR SE, MARIETTA, GA 30060-2903
(770) 426-2600
Mailing address
1049 STARVIEW DR, WEST COLUMBIA, SC 29172-3800
(803) 463-6435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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