Individual
MR. SYLVESTER W BERRY'MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
1180 MARKET SQUARE LN, LAWRENCEVILLE, GA 30044-3166
(404) 983-2599
Mailing address
1180 MARKET SQUARE LN, LAWRENCEVILLE, GA 30044-3166
(404) 983-2599
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000003050
GA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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