Individual
CHARLES RAY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 AIRPARK CT, GREENVILLE, SC 29607-6188
(864) 546-4497
(864) 546-4506
Mailing address
PO BOX 484, EASLEY, SC 29641-0484
(864) 546-4497
(864) 546-4506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22923
SC
208VP0000X
Pain Medicine Physician
22923
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T71482
—
SC
Enumeration date
06/21/2006
Last updated
02/20/2017
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