| 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 |
|---|---|
| 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 |
|---|---|---|---|
| 207N00000X | Dermatology | MD7104 (Tennessee) | Primary |
| Entity Name | Cumberland Skin Surgery And Dermatology |
|---|---|
| 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 |
|---|---|
| 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 |