Individual
DR. GREGORY ERWIN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 423-4919
Mailing address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 265-8220
(731) 265-8355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27288
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080148228
RAILROAD MEDICARE
TN
01
—
12122
TLC
TN
01
—
1370056
CIGNA
TN
01
—
152330
BETTER HEALTH
TN
01
—
3133669
BLUE CROSS
TN
05
—
3847268
—
TN
01
—
626001636
UNITED HEALTHCARE
TN
Enumeration date
05/23/2005
Last updated
03/16/2023
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