Dr. Charles Austin Mitchell JR.
Dermatologist
206b Babb Dr
Lebanon
, Tennessee 37087-2508
Dr. Charles Austin Mitchell JR.
Dermatologist
206b Babb Dr
Lebanon
, Tennessee 37087-2508
(615) 443-4112
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Charles Austin Mitchell JR.
- 206b Babb Dr
- Lebanon, TN
- Zip : 37087-2508
- Phone : (615) 443-4112
Second Address
- Dr. Charles Austin Mitchell JR.
- 206b Babb Dr
- Lebanon, TN
- Zip : 37087-2508
- Phone : (615) 443-4112
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD7104 | TN |
National Provider Identifier
| NPI | 1063409845 |
|---|---|
| Provider Name | Dr. Charles Austin Mitchell JR. |
| First Address | Lebanon, TN 37087-2508 |
| Second Address | Lebanon, TN 37087-2508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D32145 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.