IndividualActive
Michael Mitchell
NPI 1194504837 · Radiology Practitioner Assistant · Rome, GA
Provider details
- NPI number
- 1194504837
- Entity type
- Individual
- Primary specialty
- Radiology Practitioner AssistantTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
901 N Broad St Ne
Rome, GA 30161-5201
Phone: (706) 291-2661
Approximate (ZIP-level) locationGet directions
Mailing address
4300 Summer Landing Dr Apt 206
Lakeland, FL 33810-3816
Registry dates
- Enumerated
- 2023-09-22
- Last updated
- 2023-09-22
- Certified
- 2023-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.