Individual
ADAM JACKSON MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-0341
(303) 717-9347
Mailing address
420 DELAWARE ST SE, MMC 284, MINNEAPOLIS, MN 55455-0341
(303) 717-9347
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
071825
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/19/2011
Last updated
03/12/2018
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