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Individual

MR. JOSEPH RICHARD MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SA-C

Contact information

Practice address
2631 ROCKY DR, ROCKY FACE, GA 30740-9095
(706) 277-2486
Mailing address
2631 ROCKY DR, ROCKY FACE, GA 30740-9095
(706) 277-2486

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
03-235

Other

Enumeration date
02/23/2007
Last updated
07/08/2007
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