| Doctor Name: | MRS. SANDRA RODRIGUEZ MITCHELL |
| NPI Number: | 1205802451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE |
| License Number: | 260444 |
| Business Practice Address: | 148 Lake Manor Dr Kingsland, GA - 315486274 |
| Business Phone Number: | 9125734220 |
| Business Fax Number: | |
| Mailing Address: | 148 Lake Manor Dr, KINGSLAND |
| State: | GA |
| Postal Code: | 315486274 |
| Phone Number: | 9125734220 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 260444 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |