Individual provider · Type 1 NPI

Justin T. Mizelle, PA-C

Medical Physician Assistant · Johnson City, TN

NPI number 1356623391 Active

Practice location

400 N State Of Franklin Rd
Johnson City, TN 37604-6035

Call (888) 632-1085 Map

Other practice locations

  • 301 Med Tech Pkwy Ste 200, Johnson City, TN 37604-2364 · (423) 794-1300

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2025 (TN)

Medical Physician Assistant: Definition to come...

175 other providers at this address

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About NPI 1356623391

Justin T. Mizelle, PA-C's National Provider Identifier is 1356623391, issued on Sep 15, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Johnson City, TN. The record was last updated on Mar 17, 2018.