Individual
WESLEY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3362 S 3RD ST, MEMPHIS, TN 38109-2944
(901) 701-2510
(901) 701-2516
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 260-8500
(901) 260-8598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2877
SC
363A00000X
Physician Assistant
Primary
3080
TN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/11/2016
Last updated
04/19/2022
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