Organization
ELIZABETH MITCHELL EYECARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WYATT MITCHELL MD (OWNER)
(601) 985-9120
Entity
Organization
Contact information
Practice address
501 BAPTIST DR STE 220, MADISON, MS 39110-2031
(601) 985-9120
(601) 985-9122
Mailing address
501 BAPTIST DR STE 220, MADISON, MS 39110-2031
(601) 985-9120
(601) 985-9122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13902
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02925
MEDICARE GROUP NUMBER
MS
Enumeration date
09/04/2007
Last updated
12/12/2025
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