Individual
LULA SHERRI M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1324 HIGHWAY 138 SW, RIVERDALE, GA 30296-1404
(770) 907-4949
(770) 907-4022
Mailing address
PO BOX 741539, RIVERDALE, GA 30274-1328
(770) 907-4949
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1417
GA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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