Individual
CAROLINE B MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27 GAMECOCK AVE STE 201, CHARLESTON, SC 29407-3398
(843) 769-8215
(843) 769-8216
Mailing address
27 GAMECOCK AVE STE 201, CHARLESTON, SC 29407-3398
(843) 769-8215
(843) 769-8216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-140437
AL
363L00000X
Nurse Practitioner
Primary
20961
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20961
APRN LICENSE
SC
Enumeration date
07/10/2017
Last updated
10/17/2024
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