Individual
DR. CHARLES AUSTIN MITCHELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206B BABB DR, LEBANON, TN 37087-2508
(615) 443-4112
Mailing address
206B BABB DR, LEBANON, TN 37087-2508
(615) 443-4112
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD7104
TN
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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