Individual
DR. MITCHELL L DEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1330 BOILING SPRINGS RD STE 2500, SPARTANBURG, SC 29303-4214
(864) 585-5433
(864) 591-4053
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
00670
SC
207RC0000X
Cardiovascular Disease Physician
8293
OK
207RI0011X
Interventional Cardiology Physician
Primary
00670
SC
207RI0011X
Interventional Cardiology Physician
8293
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006709
—
SC
01
—
SCL3746084
MEDICARE PIN
SC
Enumeration date
08/12/2005
Last updated
10/18/2023
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