Individual
MR. ROBERT EDWARD MITCHELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24509
SC
363LA2100X
Acute Care Nurse Practitioner
24509
SC
Other
Enumeration date
01/13/2021
Last updated
05/07/2024
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