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Individual

LARRY MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1550 COUNTY ROAD 487, CENTRE, AL 35960
(615) 428-4422
Mailing address
1550 COUNTY ROAD 487, CENTRE, AL 35960
(615) 428-4422

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12895
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000008232
AL
05
009936244
AL
05
009936246
AL
05
009936247
AL
Enumeration date
10/17/2006
Last updated
12/07/2016
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