Individual
DR. CHARLES HOPKINS MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 MONUMENT SQ, PORTLAND, ME 04101-4039
(207) 874-1055
(207) 774-5901
Mailing address
207 S MAIN ST, NEWMARKET, NH 03857-1843
(603) 292-7292
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
012955
ME
2084P0800X
Psychiatry Physician
Primary
T-1030
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213910000
—
ME
05
—
PENDING
—
NH
Enumeration date
07/26/2006
Last updated
09/23/2021
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