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Individual

DR. TINA F MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7000 WELLNESS WAY STE 7220, BRUNSWICK, GA 31522-2286
(912) 638-1801
(912) 638-1821
Mailing address
7000 WELLNESS WAY STE 7220, ST SIMONS ISLAND, GA 31522-2286
(912) 638-1801
(912) 638-1821

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
050041
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000908168A
GA
05
000908168B
GA
Enumeration date
03/14/2006
Last updated
04/24/2024
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