Carl I. Mitchell, Md, Pa | |
7201 Brookfield Rd Columbia SC 29223-2215 | |
(803) 736-4050 | |
(803) 736-4083 |
Full Name | Carl I. Mitchell, Md, Pa |
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Speciality | Clinic/Center |
Location | 7201 Brookfield Rd, Columbia, South Carolina |
Authorized Official Name and Position | Carl Issac Mitchell (PHYSICIAN) |
Authorized Official Contact | 8037364050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carl I. Mitchell, Md, Pa 7201 Brookfield Rd Columbia SC 29223-2215 Ph: (803) 736-4050 | Carl I. Mitchell, Md, Pa 7201 Brookfield Rd Columbia SC 29223-2215 Ph: (803) 736-4050 |
NPI Number | 1831370857 |
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Provider Enumeration Date | 11/19/2007 |
Last Update Date | 11/19/2007 |
Medicare PECOS PAC ID | 2567416803 |
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Medicare Enrollment ID | O20050309000530 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831370857 | NPI | - | NPPES |
GP3505 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 8063 (South Carolina) | Primary |
Provider Name | Carl Issac Mitchell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932192044 PECOS PAC ID: 6204880552 Enrollment ID: I20120127000607 |
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