Individual
MS. SUMONA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
1100 EISENHOWER DRIVE 15, SUITE 7, SAVANNAH, GA 31406
(912) 499-9733
Mailing address
1800 STALEY AVE, SAVANNAH, GA 31405-3836
(803) 260-7427
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO093671
GA
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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