Individual
DR. MICHAEL SHAWN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9352 PARK WEST BLVD, KNOXVILLE, TN 37923-4325
(865) 373-1000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
021096
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3867096
—
TN
01
—
4016565
BLUE CROSS
TN
01
—
P00188207
RAILROAD
TN
Enumeration date
06/07/2006
Last updated
11/29/2007
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