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Individual

ROBERT L MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6245 SHERIDAN DR, SUITE 212, WILLIAMSVILLE, NY 14221-4834
(716) 204-4500
(716) 204-4501
Mailing address
5250 VIRGINIA WAY, SUITE 250, BRENTWOOD, TN 37027
(615) 690-1941
(615) 690-3941

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
18648
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1513151
TN
05
3056171
TN
Enumeration date
06/05/2006
Last updated
09/16/2015
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