Jan Karen Mitchell in Augusta - General Practice

Jan Karen Mitchell - NPI 1780801035

Jan Karen Mitchell is a General Practice in Augusta, Georgia. Jan Karen Mitchell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jan Karen Mitchell is 1780801035. The last update date is 2021-03-25.

Jan Karen Mitchell's current location address is 1430 John Wesley Gilbert Drive Gc-1012, Augusta, Georgia. You can contact this provider via phone number 7067212371 and fax number 7067216778. The mailing address for Jan Karen Mitchell is 1430 John Wesley Gilbert Drive Gc-1012, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jan Karen Mitchell
Address 1430 John Wesley Gilbert Drive Gc-1012, Augusta, Georgia
Phone Number 7067212371
Fax Number 7067216778
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1780801035
Provider Enumeration Date 2007-04-19
Last Updated Date 2021-03-25

Provider Mailing Address Detail

Address 1430 John Wesley Gilbert Drive Gc-1012
City Augusta
State Georgia (GA)
Post Code 309120001
Phone Number 7067212371
Fax Number 7067216778

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN009079
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZG9079 SC --
1418385 GA TRICARE

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FAQs about Jan Karen Mitchell

What is the unique 10-digit identification code assigned to Jan Karen Mitchell by the Centers for Medicare & Medicaid Services?

The Jan Karen Mitchell has been issued the NPI (National Provider Identifier) 1780801035, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jan Karen Mitchell is physically located?

The Jan Karen Mitchell is physically situated at the following address: 1430 John Wesley Gilbert Drive Gc-1012, Augusta, GA, 309120001.

What is the Jan Karen Mitchell's specialty and taxonomy code?

The Jan Karen Mitchell's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When was the Jan Karen Mitchell's 1780801035 issued?

The Jan Karen Mitchell's 1780801035 was issued on 2007-04-19.

When was the Jan Karen Mitchell's information last updated?

The Jan Karen Mitchell's information was last updated on 2021-03-25.

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