Provider Demographics
NPI:1073781464
Name:MITCHELL, ELLEN BROWNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:BROWNE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6000 HILLANDALE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-4860
Mailing Address - Country:US
Mailing Address - Phone:770-981-9010
Mailing Address - Fax:770-593-3461
Practice Address - Street 1:6000 HILLANDALE DR STE 130
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-4860
Practice Address - Country:US
Practice Address - Phone:770-981-9010
Practice Address - Fax:770-593-3461
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD437648207W00000X
GA89409207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology