Individual
SAMANTHA N MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1631 GORDON HWY STE 17A, AUGUSTA, GA 30906-2229
(706) 230-7006
(762) 257-7442
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100006
GA
Other
Enumeration date
06/14/2021
Last updated
05/22/2024
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