Individual provider · Type 1 NPI

Madison Grace Mitchell

Student in an Organized Health Care Education/Training Program · Hattiesburg, MS

NPI number 1255947461 Active

Practice location

118 College Dr
Hattiesburg, MS 39406-0002

Call (601) 408-9166 Map

Mailing address

106 Breckenridge Dr
Hattiesburg, MS 39402-3704

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255947461

Madison Grace Mitchell's National Provider Identifier is 1255947461, issued on Sep 22, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 22, 2020.