Individual
CHARLES W. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 STARLING ST, SUITE 603, BRUNSWICK, GA 31520-4265
(912) 280-9977
(912) 280-9995
Mailing address
2500 STARLING ST, SUITE 603, BRUNSWICK, GA 31520-4265
(912) 280-9977
(912) 280-9995
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
035297
GA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
035297
GA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
035297
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
035297
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000908146A
—
GA
Enumeration date
08/01/2006
Last updated
02/20/2023
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