Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME93742 | FL |
N | 2080P0208X | Pediatric Infectious Diseases | ME93742 | FL |
NPI | 1275724411 |
---|---|
Provider Name | Dr. Marcia Elaine Mitchell |
First Address | Alexandria, LA 71303-3361 |
Second Address | Alexandria, LA 71303-3361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 20/01/2015 |