CHARLES A. MITCHELL

LEBANON, TN
NPI1861555419
Entity TypeOrganization
Authorized ContactCHARLES A MITCHELL
Owner
615-443-4112
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: TN  MD7104)
Enumeration Date2006-12-18
Last Update Date2020-05-21
Business Address
CHARLES A. MITCHELL
206 BABB DR # B
LEBANON, TN 37087-2508
Phone number: 615-443-4112
Mailing Address
CHARLES A. MITCHELL
206 BABB DR # B
LEBANON, TN 37087-2508
Phone number: 615-443-4112