Individual
JULIA M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2452 MAHAN DR STE 101, TALLAHASSEE, FL 32308-5377
(850) 877-2126
(850) 878-5190
Mailing address
2452 MAHAN DR STE 101, TALLAHASSEE, FL 32308-5377
(850) 877-2126
(850) 878-5190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002304
GA
363AS0400X
Surgical Physician Assistant
Primary
PA9105804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104589397A
PEACHSTATE
GA
05
—
104589397A
—
GA
Enumeration date
02/03/2006
Last updated
12/23/2010
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