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Individual

HALEY GAINOUS MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 584-5570
(229) 551-8697
Mailing address
8971 GA HIGHWAY 202, THOMASVILLE, GA 31757-0979
(229) 221-2173

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN245977
GA

Other

Enumeration date
03/16/2022
Last updated
11/14/2023
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