Individual
JOHN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 DOUGHTY ST STE 200, CHARLESTON, SC 29403-5727
(843) 577-6791
Mailing address
125 DOUGHTY ST STE 200, CHARLESTON, SC 29403-5727
(843) 577-6791
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
17744
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177445
—
SC
Enumeration date
05/11/2006
Last updated
03/25/2021
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