Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Anthony Mitchell, IDC

Individual provider Independent Duty Corpsman · NPI 1013107499

Mark Anthony Mitchell, IDC is an Independent Duty Corpsman in Jacksonville, North Carolina. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1140 Kellum Loop Rd #36
Jacksonville, NC 28546-3321
Phone: (917) 603-6469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1013107499
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJuly 31, 2007
Last updated in NPPESJuly 31, 2007
Mailing address1140 Kellum Loop Rd, 36, Jacksonville, NC 28546-3321

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