Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MT003781 | GA |
NPI | 1063703528 |
---|---|
Provider Name | Mrs. Christi B Mitchell |
First Address | Dalton, GA 30721 |
Second Address | Dalton, GA 30721-8358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2011 |
Last Update Date | 02/05/2011 |