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MITCHELLS PEDIATRICS LLC NPI 1366785560


NPI Information

NPI: 1366785560
Provider Name: MITCHELLS PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 19D2058370

Address:
221 PECAN PARK AVE
ALEXANDRIA, LA
ZIP 71303
Phone: (318) 487-1602
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MITCHELLS PEDIATRICS LLC is a pediatrics in Alexandria, LA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MITCHELLS PEDIATRICS LLC NPI is 1366785560. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

221 PECAN PARK AVE
ALEXANDRIA, LA
ZIP 71303-361
Phone: (318) 487-1602
Fax: (318) 487-1603

The provider's authorized official is Marcia Mitchell .
The authorized official title is Owner, Physician and has the following contact phone number (318) 487-1602.

The CLIA number assigned to this NPI record is 19D2058370 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 8/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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