Organization
CARL I. MITCHELL, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL ISSAC MITCHELL M.D. (PHYSICIAN)
(803) 736-4050
Entity
Organization
Contact information
Practice address
1 WINDSOR CV STE 301, COLUMBIA, SC 29223-1833
(803) 736-4050
(803) 736-4083
Mailing address
1 WINDSOR CV STE 301, COLUMBIA, SC 29223-1833
(803) 736-4050
(803) 736-4083
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
8063
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3505
—
SC
Enumeration date
11/19/2007
Last updated
12/18/2024
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