Carl Issac Mitchell


Address: 7201 Brookfield Rd, Columbia, SC 29223-2215

Carl Issac Mitchell (NPI# 1932192044, PAC ID# 6204880552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1932192044
PAC ID by PECOS 6204880552
Professional Enrollment ID I20120127000607
Full Name Carl Issac Mitchell
Address 7201 Brookfield Rd
Columbia
SC 29223-2215
Gender M
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 1975
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420086 PALMETTO HEALTH BAPTIST
420018 PALMETTO HEALTH RICHLAND

Other Locations

Address Phone Organization
7201 Brookfield Rd, Columbia, SC 29223-2215
7201 Brookfield Rd, Columbia, SC 29223-2215 6785059657 UNITED PHYSICIAN GROUP LLC

Organization Information

Office Location

Street Address 7201 BROOKFIELD RD
City COLUMBIA
State SC
Zip 29223-2215

Physicians in the same location

Name Specialty Organization Address
Carl Dewayne Brinkman Physician Assistant United Physician Group LLC 7201 Brookfield Rd, Columbia, SC 29223-2215

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Name Specialty Organization Address
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Carmen Jimenez Clinical Social Worker 300 Berkshire Dr, Suite F, Columbia, SC 29223-1859
Philip J Michels Psychologist, Clinical 9890 Windsor Lake Blvd, Columbia, SC 29223-2028
Madelyn Garcia Physician Assistant Lagniappe Medical Clinics LLC 74 Polo Rd, Columbia, SC 29223-2806
Robert W Christensen Physician Assistant Lexington County Health Services District Inc 76 Polo Rd, Columbia, SC 29223-2806
Karen N Moon Podiatry Lagniappe Medical Clinics LLC 74 Polo Rd, Columbia, SC 29223-2806
Wachovia Chanta Banks Obstetrics/gynecology Lagniappe Medical Clinics LLC 74 Polo Rd, Columbia, SC 29223-2806
Paul Plante Internal Medicine Lagniappe Medical Clinics LLC 74 Polo Rd, Columbia, SC 29223-2806
Janice H Morrow Nurse Practitioner Lagniappe Medical Clinics LLC 74 Polo Rd, Columbia, SC 29223-2806
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Competitor

Search similar physicians

City COLUMBIA
Zip Code 29223
Specialty INTERNAL MEDICINE
City + Specialty COLUMBIA + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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