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NPI 1861555419

OrganizationActive

Charles A. Mitchell

NPI 1861555419 · Dermatology Physician · Lebanon, TN

Provider details

NPI number: 1861555419
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Charles Mitchell, Owner
License: MD7104 (TN)

Practice location

206 Babb Dr # B

Lebanon, TN 37087-2508

Phone: (615) 443-4112

Fax: (615) 443-4180

More TN providers

Mailing address

206 Babb Dr # B

Lebanon, TN 37087-2508

Registry dates

Enumerated: 2006-12-18
Last updated: 2020-05-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Charles A. Mitchell — NPI 1861555419, Lebanon, TN | NPI Central