Individual
THOMAS ROBERT MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
TENNESSE VALLEY HEALTHCARE SYSTEM, 1310 24TH AVENUE SOUTH, NASHVILLE, TN 37212-2637
(615) 225-4830
(615) 225-4831
Mailing address
3370 SWEENEY HOLLOW RD, FRANKLIN, TN 37064-9575
(615) 790-8799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD17790
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110071859
RAILROAD MEDICARE
TN
01
—
265059755
CHAMPUS
TN
05
—
3033192
—
TN
05
—
3033199
—
TN
01
—
3059825
BLUE CROSS
TN
Enumeration date
05/24/2006
Last updated
07/22/2020
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