Individual
DR. MARK MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
956 MADISON AVENUE, H314, MEMPHIS, TN 38163
(901) 304-8515
Mailing address
151 GLASS RD, JOHNSON CITY, TN 37615-4012
(931) 675-9266
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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