Maxine Mitchell (NPI# 1104970441, PAC ID# 4385746288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104970441 |
| PAC ID by PECOS | 4385746288 |
| Professional Enrollment ID | I20160209001660 |
| Full Name | Maxine Mitchell |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE |
| Address |
189 Medical Way Riverdale GA 30274-4905 |
| Phone Number | 7709608855 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204863764 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 189 Medical Way, Riverdale, GA 30274-4905 | 7709608855 | ADVANCED INTERNAL MEDICINE |
| 235 Medical Blvd, B, Stockbridge, GA 30281-7218 | 7709608855 | ADVANCED INTERNAL MEDICINE |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adetokunboh M Adebayo | Internal Medicine | Advanced Internal Medicine | 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411 |
| Abdul O Odemuyiwa | Internal Medicine | Advanced Internal Medicine | 189 Medical Way, Riverdale, GA 30274-4905 |
| Alicia D Shelly | Internal Medicine | Advanced Internal Medicine | 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411 |
| Modupeola O Brisibe | Nurse Practitioner | Advanced Internal Medicine | 4166 Snapfinger Woods Dr, Decatur, GA 30035-3411 |
| Street Address |
189 MEDICAL WAY |
| City | RIVERDALE |
| State | GA |
| Zip | 30274-4905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdul O Odemuyiwa | Internal Medicine | Advanced Internal Medicine | 189 Medical Way, Riverdale, GA 30274-4905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Waikel | Chiropractic | 7075 Church St, Riverdale, GA 30274-2306 | |
| Gokarnesan Natarajan | Orthopedic Surgery | 528 Valley Hill Rd Sw, Riverdale, GA 30274-2441 | |
| Deepu Daniel | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Felix Pelaez | General Surgery | 195 Upper Riverdale Rd Sw, Riverdale, GA 30274-2518 | |
| Jun-ki Park | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Feroze A Yusufji | Orthopedic Surgery | 6525 Professional Pl A, Riverdale, GA 30274-2519 | |
| Mark Guerdan | Anesthesiology | 6525 Professional Pl B, Riverdale, GA 30274-2519 | |
| Terry L Dickerson | Podiatry | 6567 Professional Pl, Riverdale, GA 30274-2519 | |
| Xuandao L Nguyen | Optometry | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Ahmed M Nassar | Ophthalmology | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Find all physicians in zip 30274 | |||
| City | RIVERDALE |
| Zip Code | 30274 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RIVERDALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Maxine Mitchell.
| 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.