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Individual

DOUGLAS MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2117 MCCOMAS WAY, STE. 103, VIRGINIA BEACH, VA 23456-3908
(757) 668-6715
(757) 668-6680
Mailing address
2117 MCCOMAS WAY, STE. 103, VIRGINIA BEACH, VA 23456-3908
(757) 668-6715
(757) 668-6680

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101048453
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10076714
VA
01
144741
ANTHAM BCBS,HK,HK,FAMIS
VA
01
15992
OPTIMA, FAMILY CARE,FAMIS
VA
01
4262560
AETNA
VA
01
541778786
NC HEALTH
NC
01
5417787860571E
CIGNA
VA
01
814949
ALLIANCE,MDIPA,MAMSI
VA
05
890685R
NC
Enumeration date
07/18/2006
Last updated
07/21/2022
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