Individual
JASON WAYNE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-6422
(843) 792-1414
Mailing address
1232 DOWNER DR, CHARLESTON, SC 29412-9307
(704) 449-8688
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27908
SC
Other
Enumeration date
02/15/2023
Last updated
06/13/2024
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