Jesse Mitchell JR.
Emergency Physician Emergency Medical Services
705 Dixie St
Carrollton
, Georgia 30117-3818
Jesse Mitchell JR.
Emergency Physician Emergency Medical Services
705 Dixie St
Carrollton
, Georgia 30117-3818
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Jesse Mitchell JR.
- 4839 Pool Mill Rd
- Douglasville, GA
- Zip : 30135-5266
- Phone :
Second Address
- Jesse Mitchell JR.
- 705 Dixie St
- Carrollton, GA
- Zip : 30117-3818
- Phone : (770) 836-9666
Reviews
FAQs
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Where did Jesse Mitchell JR. do his residency?
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Is Jesse Mitchell JR. board certified?
What type of doctor is Jesse Mitchell JR.
In what state does Jesse Mitchell JR. practice in?
Where is Jesse Mitchell JR.’s practice located?
What is Jesse Mitchell JR.’s gender?
Is Jesse Mitchell JR. a sole practitioner?
Is Jesse Mitchell JR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 027870 | GA |
| N | 207PE0004X | Emergency Medical Services | 027870 | GA |
National Provider Identifier
| NPI | 1063479863 |
|---|---|
| Provider Name | Jesse Mitchell JR. |
| First Address | Douglasville, GA 30135-5266 |
| Second Address | Carrollton, GA 30117-3818 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 28/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00044954A | (05) | GA |
| D46160 | (02) | GA |
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.