Healthcare Provider Details

I. General information

NPI: 1841398096
Provider Name (Legal Business Name): JAMES ALISTAIR MITCHELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 05/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 RAMSEY ST
FAYETTEVILLE NC
28301-4401
US

IV. Provider business mailing address

1235 RAMSEY ST
FAYETTEVILLE NC
28301-4401
US

V. Phone/Fax

Practice location:
  • Phone: 910-433-3600
  • Fax: 910-433-3695
Mailing address:
  • Phone: 910-433-3600
  • Fax: 910-433-3695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200400921
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: