Carl I. Mitchell, Md, Pa

LBN: Carl I. Mitchell, Md, Pa
Carl I. Mitchell, Md, Pa is an health care organization with primary practice located at 7201 Brookfield Rd , Columbia SC 29223-2215. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Carl I. Mitchell, Md, Pa can be contacted via phone (803) 736-4050, or through Mitchell, Carl Issac via phone (803) 736-4050.

Contact Information

Primary practice address
7201 Brookfield Rd Columbia SC 29223-2215
Phone: (803) 736-4050
Fax: (803) 736-4083
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Carl Issac Doctor of Medicine (MD)
Phone: (803) 736-4050

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 8063 South Carolina

Profile Details

NPI number 1831370857
LBN Legal business name Carl I. Mitchell, Md, Pa
DBA Doing business as
Authorized official Mitchell, Carl Issac Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated Nov 19th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831370857 NPPES
South Carolina MEDICAID GP3505

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