Individual
PHILLIP R MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3020 KELLER BEND RD, KNOXVILLE, TN 37922-6521
(865) 690-6909
Mailing address
3020 KELLER BEND RD, KNOXVILLE, TN 37922-6521
(865) 690-6909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19432
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050011300
MCRR
TN
01
—
100020622
PHP TENNCARE
TN
01
—
86250
BLUE CROSS
TN
Enumeration date
01/06/2006
Last updated
08/20/2013
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