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Contact Information

KYLE D MITCHELL, DO
1455 BELLS FERRY ROAD
SUITE 100
MARIETTA, GA30066
 Phone: 770-421-8094
 Fax: 770-421-8096
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KYLE D MITCHELL · (Male)

NPI # 1316928138
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/09/2005
Last updated 03/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 051689
  • GA Medicaid 000967843E
  • GA Medicaid 000967843I
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
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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