Individual
MRS. OLIVIA KATHERINE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
699 E POPLAR AVE, SELMER, TN 38375-1828
(731) 434-3401
Mailing address
65 HAC ST, SAVANNAH, TN 38372-1836
(731) 610-5808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3913
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2024
Last updated
08/27/2024
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