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
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-3321
- Phone
- (917) 603-6469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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