Individual
DR. JAMIE ALAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
458 W WASHINGTON ST, MONTICELLO, GA 31064
(706) 468-6394
(706) 468-8113
Mailing address
PO BOX 229, MONTICELLO, GA 31064
(706) 468-6394
(706) 468-8113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10912
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00429591A
—
GA
Enumeration date
02/08/2006
Last updated
07/08/2007
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