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NPI Code Detail

MEDICARE: JOHN E MITCHELL M.D.

MEDICARE: JOHN E MITCHELL M.D.
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
1208600000XSurgery PhysicianC1-0026239DE
22086S0127XTrauma Surgery Physician96218SC

General Provider Information

NPI Number : 1467456921
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN E MITCHELL M.D.
Provider Business Mailing Address
First Line : 640 S. STATE STREET
Second Line : MAIL CODE 3055
City : DOVER
State : DE
Zip : 19901-3530
Country : US
Telephone Number : 302-674-4070
Fax Number : 302-672-2315
Provider Business Practice Location Address
First Line : 222 HERLONG AVE S
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-1158
Country : US
Telephone Number : 803-329-1234
Fax Number : 803-328-1785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2005
Last Update Date : 01/21/2026

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