Provider Demographics
NPI:1275724411
Name:MITCHELL, MARCIA ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:ELAINE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:221 PECAN PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3361
Mailing Address - Country:US
Mailing Address - Phone:318-487-1602
Mailing Address - Fax:318-487-1603
Practice Address - Street 1:221 PECAN PARK AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3361
Practice Address - Country:US
Practice Address - Phone:318-487-1602
Practice Address - Fax:318-487-1603
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME93742208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases