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Contact Information

LARRY MITCHELL, MD
1550 COUNTY ROAD 487
CENTRE, AL35960
 Phone: 615-428-4422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LARRY MITCHELL · (Male)

NPI # 1710067160
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2006
Last updated 12/07/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 12895
  • AL Medicaid 000008232
  • AL Medicaid 009936244
  • AL Medicaid 009936246
  • AL Medicaid 009936247
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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