MR. Carlisle Webb Mitchum III

NPI #1689729105 in Erin, Tennessee

Provider Information

NPI Number
1689729105
Entity Type
Individual
Name
MR. Carlisle Webb Mitchum III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jan 24, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
18 SPRING ST
City
Erin
ZIP Code
37061
Phone
(931) 289-4231

Specialties & Taxonomy Codes

Specialty
Pharmacist

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