SUSAN MIZELLE, PA
Physician Assistant - Surgical
Active
Individual
NPI: 1295043602
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 1883 (TN) |
| Physician Assistant - Surgical | 363AS0400X | Yes | 1883 (TN) |
Frequently Asked Questions
NPI 1295043602 is the National Provider Identifier for SUSAN MIZELLE, PA, a Physician Assistant - Surgical provider located in Johnson City, TN. This NPI was enumerated on September 20, 2010.
SUSAN MIZELLE, PA practices at 400 N STATE OF FRANKLIN RD, Johnson City, TN 37604.
Quick Facts
- NPI
- 1295043602
- Type
- Individual
- Enumerated
- Sep 20, 2010
- Last Updated
- Oct 16, 2024
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