Individual
MITCHELL HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2400 PATTERSON ST STE 319, NASHVILLE, TN 37203-1566
(615) 986-1256
(615) 329-3044
Mailing address
PO BOX 210127, NASHVILLE, TN 37221-0127
(615) 986-1256
(615) 383-0853
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3828
TN
363AS0400X
Surgical Physician Assistant
Primary
3828
TN
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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