Individual
JEFF MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 233-9151
Mailing address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 233-9151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-095181
AL
Other
Enumeration date
04/11/2009
Last updated
04/13/2009
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