Individual
MARJORIE ELLEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 VAUGHAN MEMORIAL DR, SELMA, AL 36701-6950
(334) 219-6711
Mailing address
203 VAUGHAN MEMORIAL DR, SELMA, AL 36701-6950
(334) 219-6711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-145-987
AL
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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