Provider Demographics
NPI:1801005517
Name:MITCHELL, GEORGE HUNT (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:HUNT
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2639 CONNECTICUT AVE NW
Mailing Address - Street 2:SUITE C-100
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1537
Mailing Address - Country:US
Mailing Address - Phone:202-265-4111
Mailing Address - Fax:202-265-1907
Practice Address - Street 1:2639 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE C-100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1537
Practice Address - Country:US
Practice Address - Phone:202-265-4111
Practice Address - Fax:202-265-1907
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD2370174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC122539Medicare ID - Type Unspecified
C87793Medicare UPIN