Mitchell, Robert Lacour
Mitchell, Robert Lacour is an individual health care provider with primary practice located at 1266 Highway 515 S , Jasper GA 30143. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mitchell, Robert Lacour can be contacted via phone (706) 692-2441.Contact Information
Primary practice address
1266 Highway 515 S
Jasper GA 30143
Phone: (706) 692-2441
Fax: (706) 301-5352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 047491 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047491 | Georgia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 047491 | Georgia |
Profile Details
| NPI number | 1194756676 |
|---|---|
| LBN Legal business name | Mitchell, Robert Lacour |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 9th, 2020 - about 5 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 | 1194756676 | NPPES |
| Georgia | Other | P00318977 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000855324M | RAILROAD MEDICARE |
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