Healthcare Provider Details

I. General information

NPI: 1164905147
Provider Name (Legal Business Name): JAMES HOWARD MITCHELL III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2018
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 EISENHOWER DR
SAVANNAH GA
31406-2607
US

IV. Provider business mailing address

341 EISENHOWER DR
SAVANNAH GA
31406-2607
US

V. Phone/Fax

Practice location:
  • Phone: 912-335-1011
  • Fax: 912-228-8459
Mailing address:
  • Phone: 912-335-1011
  • Fax: 912-228-8459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number11263
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number93327
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number93327
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: