Individual
LEAH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 HOSPITAL RD, CANTON, GA 30114-2412
(808) 319-8934
Mailing address
470 HOSPITAL RD, CANTON, GA 30114-2412
(808) 319-8934
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202647
NBCMI
GA
Enumeration date
11/04/2024
Last updated
11/04/2024
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