Individual
JOSEPH TYLER MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 PECAN ORCHARD RD, MONROEVILLE, AL 36460-8944
(251) 714-0298
Mailing address
103 PECAN ORCHARD RD, MONROEVILLE, AL 36460-8944
(251) 714-0298
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12718
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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