Mitchell, Carol Jean

Mitchell, Carol Jean is an individual health care provider with primary practice located at 6401 Poplar Avenue #400, Memphis TN 38119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mitchell, Carol Jean can be contacted via phone (901) 525-3086.

Contact Information

Primary practice address
6401 Poplar Avenue #400 Memphis TN 38119
Phone: (901) 525-3086
Fax: (901) 969-1113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3429717 Mississippi

Profile Details

NPI number 1376540419
LBN Legal business name Mitchell, Carol Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jun 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376540419 NPPES
Tennessee Other 4293970 BCBS

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