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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437195120 NPPES
South Carolina MEDICAID T71482

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