Mitchell, Gregory Erwin

Mitchell, Gregory Erwin is an individual health care provider with primary practice located at 294 Summar Dr , Jackson TN 38301-3915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Gregory Erwin can be contacted via phone (731) 423-1932.

Contact Information

Primary practice address
294 Summar Dr Jackson TN 38301-3915
Phone: (731) 423-1932
Fax: (731) 423-4919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27288 Tennessee

Profile Details

NPI number 1871596973
LBN Legal business name Mitchell, Gregory Erwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 16th, 2023 - about last year

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 1871596973 NPPES
Tennessee Other 080148228 RAILROAD MEDICARE
Tennessee Other 12122 RAILROAD MEDICARE
Tennessee MEDICAID 3847268 RAILROAD MEDICARE
Tennessee Other 626001636 RAILROAD MEDICARE
Tennessee Other 3133669 RAILROAD MEDICARE
Tennessee Other 1370056 RAILROAD MEDICARE
Tennessee Other 152330 RAILROAD MEDICARE
Tennessee Other 626001636 RAILROAD MEDICARE
Tennessee Other 626001636 RAILROAD MEDICARE

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