Individual
MR. CARLISLE WEBB MITCHUM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 SPRING ST, ERIN, TN 37061
(931) 289-4231
(931) 289-4230
Mailing address
34 CHERRY ST, ERIN, TN 37061-4101
(931) 289-4703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4493
TN
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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