Individual
MARCOS ANTONIO CAICEDO MONTESINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 868-6503
Mailing address
315 HOSPITAL DR, MADISON, TN 37115-5030
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
272085
TN
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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