Individual
HOLLY WILSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
220 J L WHITE DR STE 120, JASPER, GA 30143-4894
(706) 692-3539
Mailing address
1100 JOHNSON FY RD NE, SUITE 800, CENTER 2, ATLANTA, GA 30342-1709
(404) 252-1137
(404) 506-9221
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN162066
GA
367A00000X
Advanced Practice Midwife
Primary
RN162066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143552A
—
GA
05
—
003143552B
—
GA
05
—
003143552C
—
GA
05
—
003143552D
—
GA
Enumeration date
11/15/2013
Last updated
09/14/2021
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