Mark Anthony Mitchell, IDC

NPI #1013107499 in Jacksonville, North Carolina

Provider Information

NPI Number
1013107499
Entity Type
Individual
Name
Mark Anthony Mitchell, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Jul 31, 2007
Last Updated
Jul 31, 2007

Practice Location

Address
1140 KELLUM LOOP RD
Address 2
#36
ZIP Code
28546-3321
Phone
(917) 603-6469

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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