Individual
HAZEL FREIDA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 W KING ST, KINGS MOUNTAIN, NC 28086-3362
(704) 874-1900
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235545658
—
NC
Enumeration date
07/07/2014
Last updated
08/11/2020
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