Individual
DR. SCOTT CHRISTOPHER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 MILLENNIUM CIR, RINGGOLD, GA 30736-2775
(706) 937-2099
(706) 937-4062
Mailing address
799 HAMMOND DR NE, UNIT 329, ATLANTA, GA 30328-7169
(404) 783-9384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056212
GA
207Q00000X
Family Medicine Physician
200101250
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056212
GEORGIA LICENSE
GA
01
—
155005585B
MEDICAID QC
GA
01
—
155005585C
MEDICAID PCN
GA
01
—
511I080260
MEDICARE PIN QUICK CARE
GA
01
—
511I080261
MEDICARE PIN PCN
GA
Enumeration date
08/01/2006
Last updated
05/13/2009
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