Organization
ANESTHESIA OF NORTHEAST TENNESSEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL T MITCHELL (BUS MANAGER)
(843) 651-2624
Entity
Organization
Contact information
Practice address
310 N STATE OF FRANKLIN RD, STE 202, JOHNSON CITY, TN 37604-6008
(423) 928-8973
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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