Most Relevant Information
Provider Data
| NPI Number: | 1003460668 |
| Provider Name: | LAUREEN MITCHELL |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 240106 |
Most Important Dates
| Enumeration Date: | 07/31/2019 |
| Last Updated: | 07/31/2019 |
Provider Practice Location
2100 BULL ST.
COLUMBIA
SC
292012104
Practice Location Phone/Fax
| Phone: | 8038983432 |
| Fax: |
Provider Mailing Location
2100 BULL ST.
COLUMBIA
SC
292012104
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |