Individual
MANDY L MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 E GREENVILLE ST, SUITE 4500, ANDERSON, SC 29621-1580
(864) 512-4500
(864) 512-4505
Mailing address
PO BOX 2047, ANDERSON, SC 29622-2047
(864) 512-4500
(864) 512-4505
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
17347
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173476
—
SC
Enumeration date
09/06/2006
Last updated
04/27/2010
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