Mitchell, Charles Ray
Mitchell, Charles Ray is an individual health care provider with primary practice located at 25 Airpark Ct , Greenville SC 29607-6188. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mitchell, Charles Ray can be contacted via phone (864) 546-4497.Contact Information
Primary practice address
25 Airpark Ct
Greenville SC 29607-6188
Phone: (864) 546-4497
Fax: (864) 546-4506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22923 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 22923 | South Carolina |
Profile Details
| NPI number | 1437195120 |
|---|---|
| LBN Legal business name | Mitchell, Charles Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Feb 20th, 2017 - about 7 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 | 1437195120 | NPPES |
| South Carolina | MEDICAID | T71482 |
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