Individual
JAMES SAMUEL MITCHENER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 FRANKLIN RD SW, ROANOKE, VA 24016-5217
(540) 985-0116
(540) 985-0215
Mailing address
1414 FRANKLIN RD SW, ROANOKE, VA 24016-5217
(540) 985-0116
(540) 985-0215
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101034846
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007340702
—
VA
Enumeration date
10/05/2005
Last updated
11/20/2009
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