Provider Demographics
NPI:1154457216
Name:MITCHELL, GRETCHEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:K
Last Name:MITCHELL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1800 NORTHSIDE FORSYTH DRIVE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041
Mailing Address - Country:US
Mailing Address - Phone:404-303-1224
Mailing Address - Fax:404-303-1325
Practice Address - Street 1:1800 NORTHSIDE FORSYTH DRIVE
Practice Address - Street 2:SUITE 350
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041
Practice Address - Country:US
Practice Address - Phone:770-886-3555
Practice Address - Fax:770-205-6501
Is Sole Proprietor?:No
Enumeration Date:2007-02-25
Last Update Date:2017-03-23
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Provider Licenses
StateLicense IDTaxonomies
GA042090207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003163312CMedicaid