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Individual

DR. CHARLES R MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
10810 CONNECTICUT AVE, KENSINGTON, MD 20895-2138
(301) 929-7507
(301) 929-7114
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DA1366
MD

Other

Enumeration date
01/10/2007
Last updated
05/07/2024
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