Michael Shane Mitchell, IDC
Michael Shane Mitchell, IDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
5371 Washington StCamp Lejeune, NC 28547-1104
Phone: (843) 640-2075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1194168807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2013 |
| Last updated in NPPES | April 11, 2013 |
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