Mitchell, Mary D
Mitchell, Mary D is an individual health care provider with primary practice located at 360 N Irby St , Florence SC 29501-2808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mitchell, Mary D can be contacted via phone (843) 667-9414.Contact Information
Primary practice address
360 N Irby St
Florence SC 29501-2808
Phone: (843) 667-9414
Fax: (843) 667-1362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN2770 | South Carolina |
Profile Details
| NPI number | 1215041058 |
|---|---|
| LBN Legal business name | Mitchell, Mary D |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jun 3rd, 2016 - about 9 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 | 1215041058 | NPPES |
| South Carolina | MEDICAID | NP0024 |
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