Individual
MICHAEL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1716 GALLATIN PIKE N, MADISON, TN 37115-2122
(615) 868-9877
(618) 868-9892
Mailing address
1716 GALLATIN PIKE N, MADISON, TN 37115-2122
(615) 868-9877
(618) 868-9892
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0000000826
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000826
STATE OF TENNESSEE DISPENSER LICENSE
TN
Enumeration date
08/13/2014
Last updated
08/13/2014
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