John W Mitchell

Individual provider Active NPI Case Manager/Care Coordinator · Americus, GA

NPI 1992911531 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992911531
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
415 N Jackson St
Americus, GA 31709-3015
Phone
(229) 931-2470
Fax
(229) 931-2474
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

415 N Jackson St
Americus, GA 31709-3015

Mailing address

415 N Jackson St
Americus, GA 31709-3015
Phone (229) 931-2470

Other providers in Americus, GA

All providers in Americus, GA · Case Manager/Care Coordinator in Georgia

Sources for this page

Verify at the official NPI Registry.