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NPI Code Detail

MEDICARE: DR. TAMMY MITCHELL M.D.

MEDICARE: DR. TAMMY MITCHELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician13720RLA

General Provider Information

NPI Number : 1194838078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMMY MITCHELL M.D.
Provider Business Mailing Address
First Line : 301 S CITIES SERVICE HWY
Second Line :
City : SULPHUR
State : LA
Zip : 70663-6405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 OPELOUSAS ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-2641
Country : US
Telephone Number : 337-439-9983
Fax Number : 337-439-8898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 01/20/2026

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Directions to “ DR. TAMMY MITCHELL M.D.” Practice Location

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