Individual
DR. GEORGE LEWIS MITCHELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
819 RIVERBEND DR., STE. A, GADSDEN, AL 35901-2556
(256) 547-5471
(256) 546-0564
Mailing address
819 RIVERBEND DR., SUITE A, GADSDEN, AL 35901-2556
(256) 547-5471
(256) 546-0564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3057
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94752
BC/BS PROVIDER #
AL
Enumeration date
08/15/2006
Last updated
07/08/2007
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