Organization
ADVANCED ORTHOPEDICS & SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D CALFEE MD (MEMBER MANAGER)
(731) 885-8484
Entity
Organization
Contact information
Practice address
1720 E REELFOOT AVE, STE 104, UNION CITY, TN 38261-6047
(731) 885-8484
(731) 884-1609
Mailing address
PO BOX 16765, BELFAST, ME 04915-4062
(731) 885-8484
(731) 884-1609
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD34241
TN
208VP0000X
Pain Medicine Physician
MD30242
TN
225100000X
Physical Therapist
7562
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3370134
MEDICARE PTAN
TN
Enumeration date
07/17/2007
Last updated
09/29/2020
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