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Individual

MR. JAMIE LEE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
840 STEVENS CREEK RD, AUGUSTA, GA 30907-9251
(706) 722-6957
(706) 722-1999
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8278
GA

Other

Enumeration date
09/20/2016
Last updated
04/09/2018
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