| Doctor Name: | MS. GYETRI MITCHELL |
| NPI Number: | 1023202124 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, FNP |
| License Number: | 3218 |
| Business Practice Address: | 1304 W Bobo Newsom Hwy Hartsville, SC - 295504710 |
| Business Phone Number: | 8433394600 |
| Business Fax Number: | |
| Mailing Address: | 957 Cheraw St, BENNETTSVILLE |
| State: | SC |
| Postal Code: | 295122420 |
| Phone Number: | 9102917160 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2007 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |