Individual
CANDACE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
795 ROSS CLARK CIR, DOTHAN, AL 36303-5351
(334) 699-6600
(334) 699-2156
Mailing address
795 ROSS CLARK CIRCLE, DOTHAN, AL 36302-1627
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1212
AL
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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