Derris Mitchell

NPI 1215222690 · on the registry since 2011 · sole proprietor

Practice

Address: 8303 Office Park Drive
Suite B
Douglasville, GA 30134
Phone: (678) 838-8333
Organisation at this address: Excel Allied Health Services Llc
Excel Allied Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia