Mitchell, Jacob Anderson

Mitchell, Jacob Anderson is an sole proprietor health care provider with primary practice located at 100 Genevieve Ct Ste A , Peachtree City GA 30269-4868. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mitchell, Jacob Anderson can be contacted via phone (770) 486-1818.

Contact Information

Primary practice address
100 Genevieve Ct Ste A Peachtree City GA 30269-4868
Phone: (770) 486-1818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11837364-1205 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 91704 Georgia

Profile Details

NPI number 1356800742
LBN Legal business name Mitchell, Jacob Anderson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2019
Last updated Jul 22nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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