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Individual

DR. JONATHAN MARK MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., PH.D.

Contact information

Practice address
3137 HIGHWAY 9, CHERAW, SC 29520-6633
(843) 537-9044
Mailing address
PO BOX 1466, CHERAW, SC 29520-1466
(843) 537-9044

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4509
SC

Other

Enumeration date
08/12/2008
Last updated
08/12/2008
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