Individual
MR. ROBERT BRINSON MITCHELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
104 ADLER LN, GOLDSBORO, NC 27530-5513
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127531
NC
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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