Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES AUSTIN MITCHELL JR., MD
Active Sole ProprietorDR. CHARLES AUSTIN MITCHELL JR., MD is a Dermatology healthcare provider located in LEBANON, Tennessee. NPI 1063409845 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LEBANON, TN
Registration Details
- NPI Number
- 1063409845
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2005 (20.889878918244 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD7104 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
206B BABB DRLEBANON, TN, 370872508Browse TN providers · Browse ZIP 37087
- Phone
- 6154434112
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in LEBANON, TN
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID ELLIOT ROFFWARG | M.D. | 1063736833 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.