TyLisa Mitchell's National Provider Identifier (NPI) Details
TyLisa Mitchell,
NPI: 1326411745
Enumeration Date: 2015-11-06
Last updated: 2015-11-06
Sole Proprietor: NO
Status: active
Postal Address: 1100 LOGGER CT, STE C100, RALEIGH, NC
Phone:
Primary Practice Address: 1100 LOGGER CT, STE C100, RALEIGH, NC
Practice's phone: 919-844-7770