Individual
MICHAEL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14 MEDICAL PARK STE 400, PEDIATRIC CLINIC, COLUMBIA, SC 29203
(803) 434-6155
(803) 434-6979
Mailing address
14 MEDICAL PARK STE 400, PEDIATRIC CLINIC, COLUMBIA, SC 29203
(803) 434-6155
(803) 434-6979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL36665
SC
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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