NPI 1013107499

Mark Anthony Mitchell, IDC

Practitioner Independent Duty Corpsman Jacksonville, NC

Practice location

Address: 1140 Kellum Loop Rd #36, Jacksonville, NC 28546-3321
Phone: (917) 603-6469

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in North Carolina →

Registry record

NPI: 1013107499
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2007
Record last updated: 31 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.