Individual
DR. TODD MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01063226A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
2022-02058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000653510
ANTHEM
IN
05
—
200977920
—
IN
Enumeration date
06/27/2008
Last updated
11/07/2022
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