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Individual

DR. CHARLES AUSTIN MITCHELL III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5505 EDMONDSON PIKE, 10, NASHVILLE, TN 37211-5872
(615) 810-8730
(615) 810-8731
Mailing address
5505 EDMONDSON PIKE, 10, NASHVILLE, TN 37211-5872
(615) 810-8730
(615) 810-8731

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37546
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2075994
CIGNA PIN
TN
01
2130841
FIRST HEALTH NETWORK PIN
TN
05
3885689
TN
01
4066881
BLUE CROSS PIN
TN
01
7961488
AETNA PIN
TN
01
810600182
GREAT WEST HEALTHCARE PIN
TN
01
H84577
HEALTHSPRING PIN
TN
Enumeration date
07/11/2005
Last updated
11/24/2025
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