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NPI Code Detail

MEDICARE: MRS. MEGAN ELIZABETH MITCHELL

MEDICARE: MRS. MEGAN ELIZABETH MITCHELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer759TN

General Provider Information

NPI Number : 1164520839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN ELIZABETH MITCHELL
Provider Business Mailing Address
First Line : 206 IVANHOE CT
Second Line :
City : MURFREESBORO
State : TN
Zip : 37127-6983
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 211 BEDFORD WAY
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5527
Country : US
Telephone Number : 615-591-8480
Fax Number : 615-791-0989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MEGAN ELIZABETH MITCHELL ” Practice Location

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