PARK ROBERT MITCHELL M.D. NPI 1669639373

NPI Information

  • NPI: 1669639373
  • Provider Name: PARK ROBERT MITCHELL, M.D.
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Address: 1600 KENNESAW DUE WEST RD NW
    STE 620
    KENNESAW, GA
    ZIP 30152
  • Phone: (770) 427-0171

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NPI Details

PARK ROBERT MITCHELL, M.D. is a gynecology obstetrics gynecology in Kennesaw, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee PARK ROBERT MITCHELL, M.D. NPI is 1669639373. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 KENNESAW DUE WEST RD NW
STE 620
KENNESAW, GA
ZIP 30152-301
Phone: (770) 427-0171
Fax: (770) 427-2921

The provider's authorized official is Park Robert Mitchell .
The authorized official title is President and has the following contact phone number (770) 427-0171.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 7/2/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1511G701048MEDICARE PINGEORGIA

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: 3/30/2025

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