Individual
JONATHAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
110 S 20TH ST STE 4, PHILADELPHIA, PA 19103-4486
(215) 558-2731
Mailing address
2520 TROY DR, WILMINGTON, NC 28401-7661
(910) 762-2727
(910) 762-7923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05244
NC
Other
Enumeration date
11/17/2014
Last updated
06/15/2018
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