Charles Austin Mitchell Jr. (NPI# 1063409845, PAC ID# 8628971116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1063409845 |
PAC ID by PECOS | 8628971116 |
Professional Enrollment ID | I20110406000644 |
Full Name | Charles Austin Mitchell Jr. |
Organization Legal Name | CUMBERLAND SKIN SURGERY AND DERMATOLOGY |
Address |
206 Babb Dr Apt B Lebanon TN 37087-2686 |
Phone Number | 6154434112 |
Gender | M |
Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
Graduation Year | 1970 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 0941391338 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
107 Glidepath Way, Lebanon, TN 37090-4133 | 6154495771 | CUMBERLAND SKIN SURGERY AND DERMATOLOGY |
206 Babb Dr, Apt B, Lebanon, TN 37087-2686 | 6154434112 | CUMBERLAND SKIN SURGERY AND DERMATOLOGY |
Organization Legal Name | CUMBERLAND SKIN SURGERY AND DERMATOLOGY |
Physicians | 18 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lilly Zhu | Dermatology | Cumberland Skin Surgery and Dermatology | 343 Franklin Rd, Suite 202, Brentwood, TN 37027-5250 |
Molly Boring | Nurse Practitioner | Cumberland Skin Surgery and Dermatology | 333 E Main St, Hendersonville, TN 37075-2558 |
Barbara E Wolff | Physician Assistant | Cumberland Skin Surgery and Dermatology | 107 Glidepath Way, Lebanon, TN 37090-4133 |
Joey Price | Dermatology | Cumberland Skin Surgery and Dermatology | 107 Glidepath Way, Lebanon, TN 37090-4133 |
Jessica A Barron | Nurse Practitioner | Cumberland Skin Surgery and Dermatology | 107 Glidepath Way, Lebanon, TN 37090-4133 |
Abigail James | Nurse Practitioner | Cumberland Skin Surgery and Dermatology | 107 Glidepath Way, Lebanon, TN 37090-4133 |
Ashley L Joines | Nurse Practitioner | Cumberland Skin Surgery and Dermatology | 206 Babb Dr, Apt B, Lebanon, TN 37087-2686 |
Karrie A Burkhardt | Physician Assistant | Cumberland Skin Surgery and Dermatology | 107 Glidepath Way, Lebanon, TN 37090-4133 |
John Starling Iii | Dermatology | Cumberland Skin Surgery and Dermatology | 343 Franklin Rd, Suite 202, Brentwood, TN 37027-5250 |
Tancy M Bridges | Nurse Practitioner | Cumberland Skin Surgery and Dermatology | 333 E Main St, Hendersonville, TN 37075-2558 |
Street Address |
206 BABB DR APT B |
City | LEBANON |
State | TN |
Zip | 37087-2686 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley L Joines | Nurse Practitioner | Cumberland Skin Surgery and Dermatology | 206 Babb Dr, Apt B, Lebanon, TN 37087-2686 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicholas Adam Roberson | Occupational Therapy | Premier Orthopaedics and Sports Medicine Plc | 100 Physicians Way, Suite 110, Lebanon, TN 37087 |
Brittany Williams | Physical Therapy | Premier Orthopaedics and Sports Medicine Plc | 100 Physicians Way, Suite 110, Lebanon, TN 37087 |
Richard A Kincaid | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
Samuel J Crutcher | Family Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
Bernard T. Sy | Internal Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
Roger Earl Mckinney | Family Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
George William Robertson Sr. | General Surgery | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
Jason L Black | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
Erin Mcculloch Crisp | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
Lindsey Nicole Lattimore | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
Find all physicians in zip 37087 |
City | LEBANON |
Zip Code | 37087 |
Specialty | DERMATOLOGY |
City + Specialty | LEBANON + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.