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1861555419
CHARLES A. MITCHELL
LEBANON, TN
NPI
1861555419
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Entity Type
Organization
Authorized Contact
CHARLES A MITCHELL
Owner
615-443-4112
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: TN MD7104)
Enumeration Date
2006-12-18
Last Update Date
2020-05-21
Business Address
CHARLES A. MITCHELL
206 BABB DR # B
LEBANON, TN 37087-2508
Phone number: 615-443-4112
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Mailing Address
CHARLES A. MITCHELL
206 BABB DR # B
LEBANON, TN 37087-2508
Phone number: 615-443-4112
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