NPI 1073760690
Michael Mitchell
Practice location
- Address
- 206 Maryland Ave, McComb, MS 39648-3926
- Phone
- (601) 250-4815
- Mailing address
- 2629 Ashurst Rd, Tallassee, AL 36078
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1073760690
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Aug 2008
- Record last updated
- 26 Aug 2008
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.