Individual
DR. PAUL RAYMOND MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15 MOSS CREEK VLG, HILTON HEAD ISLAND, SC 29926-1105
(843) 415-8511
Mailing address
15 MOSS CREEK VLG, HILTON HEAD ISLAND, SC 29926-1105
(843) 415-8511
(800) 820-0148
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00666
SC
208VP0014X
Interventional Pain Medicine Physician
00666
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006665
—
SC
Enumeration date
05/19/2006
Last updated
08/15/2023
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