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DR. JAMIE ALAN MITCHELL DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1144293457

Individual Registrant:
DR. JAMIE ALAN MITCHELL DMD
Gender: M
Sole Proprietor

Location and contact information for practice:
458 W WASHINGTON ST  MONTICELLO, GA 31064 US
Tel: 706-468-6394  Fax: 706-468-8113

Contact information for business:
PO BOX 229  MONTICELLO, GA 31064 US
Tel: 706-468-6394  Fax: 706-468-8113

Registration Information:
NPI: 1144293457
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GA10912

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00429591AGA05




HEALTH CARE JOBS GA - Page 1



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