MEDICARE: DR. WILLIAM R MITCHELL MD

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
1	207R00000X	Internal Medicine Physician	34407	NC
2	207RH0003X	Hematology & Oncology Physician	34407	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1811949308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM R MITCHELL MD

Provider Business Mailing Address
First Line	:	9930 KINCEY AVE STE 165
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-6541
Country	:	US
Telephone Number	:	704-947-5005
Fax Number	:	904-947-5006

Provider Business Practice Location Address
First Line	:	9930 KINCEY AVE STE 165
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-6541
Country	:	US
Telephone Number	:	704-947-5005
Fax Number	:	904-947-5006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/27/2021

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Directions to “ DR. WILLIAM R MITCHELL MD” Practice Location

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