Search › Georgia › 101Y00000X
Ivy Mitchell
NPI 1750885711 · on the registry since 2018 · sole proprietor
Practice
- Address
- 188 Ben Burton Cir Ste 100
Bogart, GA 30622 - Phone
- (706) 395-7040
- Organisation at this address
- Bethany Christian Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Female
- Record last updated
- 2018-03-22
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