Individual
LORI DARLENE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
410 E BLACK ST, ROCK HILL, SC 29730-5342
(803) 322-6636
Mailing address
410 E BLACK ST, ROCK HILL, SC 29730-5342
(803) 322-6636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4164
SC
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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