Individual
MRS. SHANNON NICOLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
654 1ST ST STE 330, MACON, GA 31201-2851
(478) 738-9443
Mailing address
180 RL WHEELER RD, MACON, GA 31211-6700
(804) 712-3853
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN271894
GA
Other
Enumeration date
04/20/2022
Last updated
05/06/2025
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