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NPI Code Detail

MEDICARE: DAVID W. MITCHELL CRNA

MEDICARE: DAVID W. MITCHELL CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN040553GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2430070535OTHERGAMCRB RAILROAD

General Provider Information

NPI Number : 1184698904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID W. MITCHELL CRNA
Provider Business Mailing Address
First Line : PO BOX 1707
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31059-1707
Country : US
Telephone Number : 478-457-2036
Fax Number :
Provider Business Practice Location Address
First Line : 821 N COBB ST
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-2343
Country : US
Telephone Number : 478-457-2036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 06/18/2010

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Directions to “ DAVID W. MITCHELL CRNA” Practice Location

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