Individual
STEFANI JANE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 BUFORD DR, LAWRENCEVILLE, GA 30043-2570
(315) 633-4529
Mailing address
560 AUBURN RD, AUBURN, GA 30011-2314
(315) 663-4529
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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