Provider Demographics
NPI:1558655217
Name:MITCHELL, DANA B (RN)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:B
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:780 TILLOTSON RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5105
Mailing Address - Country:US
Mailing Address - Phone:864-221-2980
Mailing Address - Fax:864-296-6910
Practice Address - Street 1:780 TILLOTSON RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5105
Practice Address - Country:US
Practice Address - Phone:864-221-2980
Practice Address - Fax:864-296-6910
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-30
Last Update Date:2011-05-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment