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Individual

DR. TARA ELIZABETH MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
661 HANSELL ST SE, ATLANTA, GA 30312-3465
(404) 388-0733
Mailing address
661 HANSELL ST SE, ATLANTA, GA 30312-3465
(404) 388-0733

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008814
GA

Other

Enumeration date
11/03/2011
Last updated
11/03/2011
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