Individual
DR. JAMES R MITCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 726-7358
Mailing address
6075 POPLAR AVE, STE 405, MEMPHIS, TN 38119-0113
(901) 685-2696
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17166
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3027741
—
TN
Enumeration date
05/24/2005
Last updated
12/28/2007
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