Individual
BRADFORD LYLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2415 MCCALLIE AVENUE, CHATTANOOGA, TN 37404
(423) 624-2696
(423) 697-2055
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2055
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
52304
TN
Other
Enumeration date
05/04/2011
Last updated
12/14/2015
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