Provider Demographics
NPI:1841398096
Name:MITCHELL, JAMES ALISTAIR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALISTAIR
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1235 RAMSEY ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-4401
Mailing Address - Country:US
Mailing Address - Phone:910-433-3600
Mailing Address - Fax:910-433-3695
Practice Address - Street 1:1235 RAMSEY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4401
Practice Address - Country:US
Practice Address - Phone:910-433-3600
Practice Address - Fax:910-433-3695
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC200400921207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89137EYMedicaid
NC2033901Medicare ID - Type Unspecified
NC89137EYMedicaid