Organization
APPLEDORE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN CALKINS (VICE PRESIDENT)
(804) 267-5950
Entity
Organization
Contact information
Practice address
26 MANCHESTER SQ, UNIT 1, PORTSMOUTH, NH 03801-2889
(603) 431-2516
(603) 431-9945
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142350004
—
ME
05
—
30213400
—
NH
Enumeration date
05/30/2006
Last updated
11/07/2017
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