Individual
PAUL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 ROSS CLARK CIR, DOTHAN, AL 36301-2040
(334) 793-2211
(334) 793-7161
Mailing address
2800 ROSS CLARK CIR, DOTHAN, AL 36301-2040
(334) 793-2211
(334) 793-7161
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
018730
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106275000
—
FL
05
—
1187301
—
CT
Enumeration date
06/23/2005
Last updated
11/09/2021
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