NPI 1063409845

Charles Austin Mitchell, MD

Practitioner Dermatology Physician Lebanon, TN

Practice location

Address: 206b Babb Dr, Lebanon, TN 37087-2508
Phone: (615) 443-4112

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD7104 (TN)

Other Dermatology providers in Tennessee →

Registry record

NPI: 1063409845
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.