Individual
MITCHELL DUSTIN CORDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
Mailing address
202 BRECKENRIDGE CT, CANTON, GA 30115-4317
(706) 844-3984
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
2357
GA
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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