Healthcare Provider Details
I. General information
NPI: 1376751909
Provider Name (Legal Business Name): THOMAS CREIGHTON MITCHELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/18/2007
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
750 ALLIANCE CT
ASHEVILLE NC
28806-2248
US
IV. Provider business mailing address
PO BOX 604333
CHARLOTTE NC
28260-4333
US
V. Phone/Fax
- Phone: 828-670-6812
- Fax: 828-670-5703
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 2014-00812 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | 2014-00812 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: