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Organization
SPORT ORTHO URGENT CARE PC
Active
Organization
SPORT ORTHO URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R. KAELIN JR. M.D. (OWNER)
(615) 553-5000
Entity
Organization
Contact information
Practice address
4998 CROSSINGS CIR STE 200, MOUNT JULIET, TN 37122-0018
(615) 553-5000
(615) 758-3875
Mailing address
4998 CROSSINGS CIR STE 200, MOUNT JULIET, TN 37122-0018
(615) 553-5000
(615) 758-3875
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
TN
Other
Enumeration date
05/21/2015
Last updated
07/15/2021
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