Mitchell, Jeffrey Charles

Mitchell, Jeffrey Charles is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Mitchell, Jeffrey Charles can be contacted via phone (770) 918-3627.

Contact Information

Primary practice address
1412 Milstead Ave Ne Conyers GA 30012-3877
Fax: (770) 918-3396
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 051359 Georgia

Profile Details

NPI number 1992757868
LBN Legal business name Mitchell, Jeffrey Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 8th, 2009 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1992757868 NPPES
Georgia MEDICAID 00982165A

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