Individual
MITCHELL JOSEPH GROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 516-6000
Mailing address
6268 SKYVIEW CIR, BARTLETT, TN 38135-2434
(901) 461-5404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238751
TN
367500000X
Certified Registered Nurse Anesthetist
148849
TN
Other
Enumeration date
04/22/2024
Last updated
06/12/2024
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