Individual
CHARLES BRANDON MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, STE. 2B-430, WASHINGTON, DC 20037-3201
(202) 741-2625
(202) 741-2622
Mailing address
2150 PENNSYLVANIA AVE NW, STE. 2B-430, WASHINGTON, DC 20037-3201
(202) 741-2625
(202) 741-2622
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
D0077465
MD
207N00000X
Dermatology Physician
Primary
MD042155
DC
390200000X
Student in an Organized Health Care Education/Training Program
164835
NC
Other
Enumeration date
05/12/2010
Last updated
05/22/2014
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