IndividualActive
Michelle Mitchum, MSCJ/L, CHW, CPT, LC
NPI 1720675242 · Community Health Worker · North, SC
Provider details
- NPI number
- 1720675242
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- MSCJ/L, CHW, CPT, LC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Phlebotomy Technician246RP1900X
Technologists, Technicians & Other Technical Service Providers
Practice location
4631 Savannah Hwy
North, SC 29112-8180
Phone: (803) 247-2534
Approximate (ZIP-level) locationGet directions
Mailing address
4055 Coburg Ln
Orangeburg, SC 29115-9014
Additional practice locations (1)
- 4055 Coburg LnOrangeburg, SC 29115-9014Phone: (803) 662-3377
Registry dates
- Enumerated
- 2020-12-30
- Last updated
- 2020-12-30
- Certified
- 2020-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.