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Individual

MRS. CAROLYN A MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
239B N MCQUEEN ST, FLORENCE, SC 29501-2501
(843) 662-2902
(843) 662-6964
Mailing address
239B N MCQUEEN ST, FLORENCE, SC 29501-2501
(843) 662-2902
(843) 662-6964

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DE2548
SC
Enumeration date
06/27/2008
Last updated
06/27/2008
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