Individual
MICHAEL E MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10810 PARKSIDE DR, TENNOVA MEDICAL PLAZA 1, SUITE 310, KNOXVILLE, TN 37934-1979
(865) 212-2282
Mailing address
1225 E WEISGARBER RD, STE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17830
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290013105
RR MEDICARE PIN
TN
05
—
3025781
—
TN
Enumeration date
06/15/2006
Last updated
08/04/2014
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