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Individual

DR. MICHAEL S MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
2011-00047
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922154533
VA
05
5917732
NC
05
Q004P
SC
Enumeration date
01/26/2007
Last updated
10/10/2011
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