Individual
ALVIN MITCHELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 BREEZEWOOD COURT, COLUMBIA, SC 29212
(803) 363-9674
(803) 509-8210
Mailing address
10 BREEZEWOOD CT, COLUMBIA, SC 29212-2901
(803) 363-9674
(803) 509-8210
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2017-54189-53078
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814420717
NON EMERGENCY MEDICAL TRANSPORTATION
—
Enumeration date
08/24/2017
Last updated
07/21/2022
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