Individual
WILLIE M. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 FRIENDLY RD, DUNN, NC 28334-2904
(910) 514-6653
Mailing address
PO BOX 1446, DUNN, NC 28335-1446
(910) 292-2171
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
37204441
NC
Other
Enumeration date
12/20/2019
Last updated
05/09/2025
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