Individual
DR. BRIAN ANDREW MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
104 MOORES GROVE RD, WINTERVILLE, GA 30683-1506
(706) 742-7000
Mailing address
150 HIAWASSEE AVE., ATHENS, GA 30601-1810
(404) 374-6893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014443
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
07/19/2012
Last updated
07/25/2012
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