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NPI Code Detail

MEDICARE: DR. MITCHELL L DEVLIN DO

MEDICARE: DR. MITCHELL L DEVLIN DO
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
1207RC0000XCardiovascular Disease Physician8293OK
2207RC0000XCardiovascular Disease Physician00670SC
3207RI0011XInterventional Cardiology Physician8293OK
4207RI0011XInterventional Cardiology Physician00670SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2SCL3746084OTHERSCMEDICARE PIN

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 : 1700888468
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MITCHELL L DEVLIN DO
Provider Business Mailing Address
First Line : PO BOX 743070
Second Line :
City : ATLANTA
State : GA
Zip : 30374-3070
Country : US
Telephone Number : 864-560-4304
Fax Number : 864-560-4413
Provider Business Practice Location Address
First Line : 1330 BOILING SPRINGS RD STE 2500
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-4214
Country : US
Telephone Number : 864-585-5433
Fax Number : 864-591-4053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 10/18/2023

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Directions to “ DR. MITCHELL L DEVLIN DO” Practice Location

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