Individual
DR. LARRY GILMER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CLINIC DR, CLAYPOOL HILL, RICHLANDS, VA 24641-1100
(276) 964-6771
(276) 964-1321
Mailing address
P.O. BOX CVPA, RICHLANDS, VI 24641
(276) 964-6771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033360
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002655
ANTHEM BCBS
—
05
—
0053207-000
—
WV
05
—
5636264
—
VA
05
—
64666670
—
KY
Enumeration date
11/03/2005
Last updated
03/29/2019
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