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Individual

DR. JOHN W MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2375 CHAMPIONS BLVD, AUBURN, AL 36830-6471
(334) 321-3700
(334) 887-7475
Mailing address
PO BOX 2145, OPELIKA, AL 36803-2145
(334) 321-3700
(334) 887-7475

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11981
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51542690
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/18/2006
Last updated
07/25/2014
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