Individual
SHANE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
USAMEDDAC, 2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755
(410) 278-5475
Mailing address
USAMEDDAC, 2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755
(410) 278-5475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
05/29/2025
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