Individual
MR. MICHAEL FRANCIS MITCHELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
795 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9475
(901) 255-6532
Mailing address
5305 SENECA AVE, MEMPHIS, TN 38117-5960
(901) 579-0151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4823
TN
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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