NPI 1194504837

Michael K Mitchell

Practitioner Radiology Practitioner Assistant Rome, GA

Practice location

Address: 901 N Broad St NE, Rome, GA 30161-5201
Phone: (706) 291-2661
Mailing address: 4300 Summer Landing Dr APT 206, Lakeland, FL 33810-3816

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X

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Registry record

NPI: 1194504837
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2023
Record last updated: 22 Sep 2023

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.