Individual
MR. BENJAMIN LEE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
143 JOHNSON DR, LENOIR CITY, TN 37771-8078
(865) 247-9554
Mailing address
143 JOHNSON DR, LENOIR CITY, TN 37771-8078
(865) 247-9554
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
84507
TN
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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