Individual
DR. JOE R MITCHELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2681 C T SWITZER SR DR, BILOXI, MS 39531-4500
(228) 385-2681
Mailing address
2558 CONIFER CT, BILOXI, MS 39531-2750
(228) 424-0507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
565/94188
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087058
—
MS
Enumeration date
10/23/2006
Last updated
09/17/2015
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