Individual
DR. CRAIG MITCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
135 W RAVINE RD STE 2-C, KINGSPORT, TN 37660-3847
(423) 246-7372
Mailing address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
58.030924
OH
Other
Enumeration date
05/23/2018
Last updated
07/24/2025
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