Individual
RICHARD A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, BOCPO
Contact information
Practice address
702 JEFFERSON ST, WHITEVILLE, NC 28472-3706
(910) 641-9179
Mailing address
702 JEFFERSON ST, WHITEVILLE, NC 28472-3706
(910) 641-9179
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795371
—
NC
Enumeration date
03/19/2007
Last updated
01/29/2013
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