Provider Demographics
NPI:1780621532
Name:MITCHELL, JAMES M (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:310 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MS
Mailing Address - Zip Code:38843-6265
Mailing Address - Country:US
Mailing Address - Phone:662-585-3900
Mailing Address - Fax:662-293-4323
Practice Address - Street 1:611 ALCORN DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9368
Practice Address - Country:US
Practice Address - Phone:662-293-1175
Practice Address - Fax:662-293-4323
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS10490207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC48316Medicare UPIN