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NPI Code Detail

MEDICARE: JOHN MITCHELL

MEDICARE: JOHN MITCHELL
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician17744SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205886124
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MITCHELL
Provider Business Mailing Address
First Line : 125 DOUGHTY ST STE 200
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-5727
Country : US
Telephone Number : 843-577-6791
Fax Number :
Provider Business Practice Location Address
First Line : 125 DOUGHTY ST STE 200
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-5727
Country : US
Telephone Number : 843-577-6791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 03/25/2021

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Directions to “ JOHN MITCHELL ” Practice Location

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