IndividualActive
Charles Mitchell, MD
NPI 1063409845 · Dermatology Physician · Lebanon, TN
Provider details
- NPI number
- 1063409845
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD7104 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
206b Babb Dr
Lebanon, TN 37087-2508
Phone: (615) 443-4112
Approximate (ZIP-level) locationGet directions
Mailing address
206b Babb Dr
Lebanon, TN 37087-2508
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.