Individual
WILLIAM CLAY MITCHELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
620 SKYLINE DR, JACKSON, TN 38301-3923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59406
TN
207Q00000X
Family Medicine Physician
ME129135
FL
Other
Enumeration date
07/08/2014
Last updated
11/23/2019
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