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Individual

DR. ELIZABETH WYATT MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13902
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00124327
MS
01
331056270
BLUE CROSS PROVIDER NUMBE
MS
Enumeration date
06/29/2006
Last updated
12/01/2025
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