Individual
DR. ELIZABETH WYATT MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 BAPTIST DR STE 220, MADISON, MS 39110-2031
(601) 985-9120
(601) 985-9122
Mailing address
501 BAPTIST DR STE 220, MADISON, MS 39110-2031
(601) 985-9120
(601) 985-9122
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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