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Individual

MRS. MELISSA MAE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
700 S PARKER DR, FLORENCE, SC 29501-6059
(843) 679-3251
Mailing address
1011 S HANOVER RD, FLORENCE, SC 29501-6061
(843) 621-2607

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN1753
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN1163
SC
Enumeration date
03/20/2006
Last updated
04/18/2018
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