SUSAN MIZELLE

JOHNSON CITY, TN
NPI1295043602
Former NameSUSAN SALYER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: TN  1883)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TN  1883)
Enumeration Date2010-09-20
Last Update Date2024-10-16
Business Address
SUSAN MIZELLE PA
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-6111
Mailing Address
SUSAN MIZELLE PA
1185 W MOUNTAIN VIEW RD APARTMENT 1301
JOHNSON CITY, TN 37604-2523
Phone number: 423-276-4033