Individual
DR. MITCHELL B. WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1453 HOPE WAY, MURFREESBORO, TN 37129-3140
(615) 893-9390
Mailing address
1453 HOPE WAY, MURFREESBORO, TN 37129-3140
(615) 893-9390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45949
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519658
—
TN
01
—
4269184
BLUE CROSS/BLUE SHIELD
TN
01
—
P00853552
RR MEDICARE
TN
Enumeration date
03/26/2007
Last updated
08/16/2022
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