Mitchell, Bruce Leroy
Mitchell, Bruce Leroy is an individual health care provider with primary practice located at 550 Peachtree St Ne , Atlanta GA 30308-2208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mitchell, Bruce Leroy can be contacted via phone (404) 686-6730.Contact Information
Primary practice address
550 Peachtree St Ne
Atlanta GA 30308-2208
Phone: (404) 686-6730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME70743 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 031292 | Georgia |
Profile Details
| NPI number | 1245229970 |
|---|---|
| LBN Legal business name | Mitchell, Bruce Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2005 |
| Last updated | Sep 17th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245229970 | NPPES |
| District of Columbia | Other | 32760 | BLUECROSS/BLUESHIELD |
| District of Columbia | Other | 110145938 | BLUECROSS/BLUESHIELD |
| District of Columbia | MEDICAID | 268585000 | BLUECROSS/BLUESHIELD |
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