Individual
LAURA LAQUITTA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 REDMOND RD NW, ROME, GA 30165-1416
(706) 233-8506
(706) 233-8507
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007400
GA
Other
Enumeration date
01/21/2015
Last updated
06/18/2015
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