Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 2018-00689 | NC |
NPI | 1013270487 |
---|---|
Provider Name | Lydia Darlud Mitchell |
First Address | Durham, NC 27704-2702 |
Second Address | Durham, NC 27704-2702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2012 |
Last Update Date | 16/12/2021 |