Individual
DR. CARL ISSAC MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WINDSOR CV STE 301, COLUMBIA, SC 29223-1833
(803) 736-4050
(803) 736-4083
Mailing address
1 WINDSOR CV STE 301, COLUMBIA, SC 29223-1833
(803) 736-4050
(803) 736-4083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8063
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080637
—
SC
Enumeration date
08/24/2005
Last updated
12/18/2024
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