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Mitchell Manor
NPI 1801228572 · on the registry since 2013
Practice
- Address
- 189 Brooklawn St
Farragut, TN 37934 - Phone
- (865) 671-7917
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- TN, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee