Provider Demographics
NPI:1699162818
Name:MITCHELL, CHASE MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:CHASE
Middle Name:MATTHEW
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2006 FRANKLIN ST SE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4537
Mailing Address - Country:US
Mailing Address - Phone:256-539-0457
Mailing Address - Fax:256-365-2512
Practice Address - Street 1:2006 FRANKLIN ST SE STE 200
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4537
Practice Address - Country:US
Practice Address - Phone:256-539-0457
Practice Address - Fax:256-365-2512
Is Sole Proprietor?:No
Enumeration Date:2015-04-26
Last Update Date:2023-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN630172085R0202X
VA01012689652085R0202X
AL422522085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology