Dr. Carter Wallace Mitchell
Sports Medicine Orthopaedic Surgeon
18109 Prince Philip Dr Suite 325
Olney
, Maryland 20832-1519
Dr. Carter Wallace Mitchell
Sports Medicine Orthopaedic Surgeon
18109 Prince Philip Dr Suite 325
Olney
, Maryland 20832-1519
(703) 558-1544
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Carter Wallace Mitchell
- Po Box 418283
- Boston, MA
- Zip : 02241-8283
- Phone : (703) 558-1544
Second Address
- Dr. Carter Wallace Mitchell
- 18109 Prince Philip Dr Suite 325
- Olney, MD
- Zip : 20832-1519
- Fax : (301) 774-8959
- Phone : (301) 774-8958
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0067371 | MD |
National Provider Identifier
| NPI | 1114123643 |
|---|---|
| Provider Name | Dr. Carter Wallace Mitchell |
| First Address | Boston, MA 02241-8283 |
| Second Address | Olney, MD 20832-1519 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2007 |
| Last Update Date | 12/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.