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Johnny Mitchell
NPI 1679979215 · on the registry since 2014 · sole proprietor
Practice
- Address
- 162 Shadow Oak Lane
Flippin, AR 72634 - Phone
- (870) 404-2555
- Fax
- (870) 453-6558
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-10
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 Arkansas