Individual
DR. MITCHELL H. GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1940 ALCOA HWY, SUITE 120, KNOXVILLE, TN 37920-2244
(865) 305-9244
(865) 305-6958
Mailing address
1924 ALCOA HIGHWAY, BOX U-11, KNOXVILLE, TN 37920
(865) 305-9244
(865) 305-6958
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0015871
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040018
BLUECROSS BLUESHIELD
TN
05
—
3010389
—
TN
01
—
4283816
AETNA
TN
01
—
621301039
CHAMPUS TRICARE
TN
01
—
770001816
RAILROAD MEDICARE
TN
Enumeration date
07/03/2006
Last updated
10/25/2011
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