Individual
WILLIAM CRAIG MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 2ND ST SW, SUITE 202, ROANOKE, VA 24016-4944
(540) 344-3020
(540) 344-4394
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101042794
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699773531
—
VA
01
—
1831141597
NPI GROUP
—
05
—
5831563
—
VA
Enumeration date
07/13/2005
Last updated
01/04/2022
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