Organization
TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN PC
Active
Other names
TDI Pain
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIN GERRARD MITCHELL M.D. (PHYSICIAN)
(706) 845-9370
Entity
Organization
Contact information
Practice address
1075 LAFAYETTE PKWY, STE 100, LAGRANGE, GA 30241-3584
(706) 443-5273
(706) 443-5275
Mailing address
1075 LAFAYETTE PKWY, STE 100, LAGRANGE, GA 30241-3584
(706) 443-5273
(706) 443-5275
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
63786
GA
Other
Enumeration date
11/20/2011
Last updated
01/11/2019
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