Individual
MR. JOHN T MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1929 BUTTONWOOD CT, HARRISONBURG, VA 22802-6197
(540) 470-0288
Mailing address
1929 BUTTONWOOD CT, HARRISONBURG, VA 22802-6197
(540) 470-0288
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000546
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126000546
BOARD OF MEDICINE
VA
Enumeration date
04/02/2008
Last updated
04/02/2008
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