Derris Mitchell

  • NPI 1215222690
According to our database, the NPI number for Derris Mitchell is 1215222690 and activated since 12 years ago. Derris Mitchell is an individual provider who specializes in Professional, and the primary practice location is 8303 Office Park Drive, Douglasville, GA 30134. You can also contact Derris Mitchell via telephone number is (678) 838-8333. Provider NPI information was last updated on 06/14/2011.

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Overview of Derris Mitchell

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/14/2011
  • Last updated: 06/14/2011

Primary Scrop of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: LPC004016
  • License State: GA

Provider Mailing Address

  • Address: 4031 Rockridge Ct
    Douglasville, GA 30135
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 8303 Office Park Drive
    Suite B
    Douglasville, GA 30134
  • Phone: 678-838-8333
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: LPC004016
  • License State: GA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Derris Mitchell?
  • A: The npi number for Derris Mitchell is 1215222690.
  • Q: What are Derris Mitchell's specialties?
  • A: Derris Mitchell's specialties are Professional and different specialities.
  • Q: What is the medical license for Derris Mitchell?
  • A: The medical license number for Derris Mitchell is LPC004016 and issued in GA in USA.
  • Q: Where is Derris Mitchell practice location?
  • A: Derris Mitchell is practicing at 8303 Office Park Drive, Douglasville, GA 30134.
  • Q: How to contact Derris Mitchell?
  • A: You can contact Derris Mitchell via 678-838-8333.
Medicare Specialty
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Family Health
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Sports Medicine
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