Individual
MR. WILLIAM DALE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5659 S REX RD, MEMPHIS, TN 38119-3821
(901) 763-3636
(901) 763-3694
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
282
TN
Other
Enumeration date
06/02/2009
Last updated
10/25/2016
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