Individual
CHRISTOPHER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2536
(865) 475-9002
Mailing address
139 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000036868
TN
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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