Individual
DIANE L. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1130 TALBOTTON RD, COLUMBUS, GA 31904-8749
(706) 327-0700
(706) 327-0757
Mailing address
1130 TALBOTTON RD, COLUMBUS, GA 31904-8749
(706) 641-6900
(706) 327-0757
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004787
GA
Other
Enumeration date
08/01/2006
Last updated
08/05/2015
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