Davin Mitchell, MD | |
1075 Lafayette Pkwy, Ste 100, Lagrange, GA 30241-3584 | |
(706) 593-3256 | |
(706) 443-5275 |
Full Name | Davin Mitchell |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 20 Years |
Location | 1075 Lafayette Pkwy, Lagrange, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861669517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 63786 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Total Diagnostic And Interventional Pain Pc | 7517123904 | 2 |
Entity Name | Total Diagnostic And Interventional Pain Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609143502 PECOS PAC ID: 7517123904 Enrollment ID: O20120731000067 |
Mailing Address | Practice Location Address |
---|---|
Davin Mitchell, MD 1075 Lafayette Pkwy, Ste 100, Lagrange, GA 30241-3584 Ph: (706) 593-3256 | Davin Mitchell, MD 1075 Lafayette Pkwy, Ste 100, Lagrange, GA 30241-3584 Ph: (706) 593-3256 |
Jung H Ahn, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |
Dr. Deborah A Simmons, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1805 Vernon Rd, Suite C, Lagrange, GA 30240 Phone: 706-812-9902 Fax: 706-812-0802 | |
Jennifer M Sanderson, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1805 Vernon Rd Ste C, Lagrange, GA 30240 Phone: 706-812-9902 Fax: 706-812-0802 |