Provider Demographics
NPI:1063703528
Name:MITCHELL, CHRISTI B (LMT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:B
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 NORTH OAKS DR
Mailing Address - Street 2:STE#5
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721
Mailing Address - Country:US
Mailing Address - Phone:706-226-8455
Mailing Address - Fax:706-529-9860
Practice Address - Street 1:101 N OAKS DR
Practice Address - Street 2:STE#5
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-8358
Practice Address - Country:US
Practice Address - Phone:706-226-8455
Practice Address - Fax:706-529-9860
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT003781175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath