Individual
DR. BROCK THOMAS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 2, JOHNSON CITY, TN 37604-6092
(234) 397-2804
(423) 439-8110
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53110
TN
208M00000X
Hospitalist Physician
53110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022640
—
TN
Enumeration date
05/10/2013
Last updated
01/23/2024
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