Individual
CAROLYN MITJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 ROSE AVE, COLUMBUS, GA 31904
(706) 324-1237
Mailing address
2915 ROSE AVE, COLUMBUS, GA 31904
(706) 324-1237
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
07/23/2014
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