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Individual
STEPHEN A MITCHELL
Active
Individual
STEPHEN A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
023973
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01158928
AMERIGROUP TENNCARE AND AMERIVANTAGE MCR REPLACEMENT
TN
01
—
1100849099
USA PPO/GEHA
TN
01
—
12079652
MULTIPLAN/PHCS
TN
01
—
1877118
COVENTRY
TN
01
—
2408350
CIGNA
TN
01
—
258895
USA MANAGED CARE
—
05
—
30714321
—
TN
01
—
4166167
BCBS OF TN
TN
01
—
4274032
AETNA
TN
05
—
6492024200
—
KY
01
—
995324
UNITED HEALTH CARE
TN
01
—
P00452870
MEDICARE RAILROAD
TN
05
—
Q006400
—
TN
01
—
TN139
AMERICHOICE TENNCARE ONLY
TN
Enumeration date
11/17/2005
Last updated
08/01/2014
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