Jimmy Travis Mitchell, DO
General Practice in Portsmouth, VA. Individual provider (NPI-1).
NPI number1801596648
StatusActive
Last updated in NPPESJul 3, 2024
Details
- NPI
- 1801596648
- Entity type
- Individual (NPI-1)
- Name
- Jimmy Travis Mitchell
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2023
- Certification date
- Jul 3, 2024
- Last updated
- Jul 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 0102208716 | VA | Yes |
Practice location
620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone 757-953-0669
Mailing address
235 Albany Dr NeHuntsville, AL 35811-8743
Phone 334-590-4779
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All 93 General Practice Physician providers in Portsmouth · All 3,843 providers in Portsmouth
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