Individual
DR. CHARLES F MITCHELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5258 DIJON DR, BATON ROUGE, LA 70808-4311
(225) 769-1090
(225) 769-4812
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
012203
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1190110
—
LA
Enumeration date
09/14/2005
Last updated
03/05/2024
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