Dr Charles Austin Mitchell Jr, MD | |
206b Babb Dr, Lebanon, TN 37087-2508 | |
(615) 443-4112 | |
Not Available |
Full Name | Dr Charles Austin Mitchell Jr |
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Gender | Male |
Speciality | Dermatology |
Location | 206b Babb Dr, Lebanon, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063409845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207N00000X | Dermatology | MD7104 (Tennessee) | Primary |
Entity Name | Cumberland Skin Surgery And Dermatology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922138247 PECOS PAC ID: 0941391338 Enrollment ID: O20070814000893 |
Mailing Address | Practice Location Address |
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Dr Charles Austin Mitchell Jr, MD 206b Babb Dr, Lebanon, TN 37087-2508 Ph: (615) 443-4112 | Dr Charles Austin Mitchell Jr, MD 206b Babb Dr, Lebanon, TN 37087-2508 Ph: (615) 443-4112 |
Dr. David Elliot Roffwarg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 107 Glidepath Way, Lebanon, TN 37090 Phone: 615-449-5771 Fax: 615-449-5740 | |
Joey S Price, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 107 Glidepath Way, Lebanon, TN 37090 Phone: 615-449-5771 Fax: 615-449-5740 | |
Julie M Countess, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 107 Glidepath Way, Lebanon, TN 37090 Phone: 615-449-5771 Fax: 615-449-5740 | |
Dr. Tejaswi Venkata Mudigonda, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1424 W Baddour Pkwy Ste G, Lebanon, TN 37087 Phone: 615-314-1699 Fax: 615-622-8905 |