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Individual

MR. MICHAEL JAMES SPELLMAN JR.

Active
Find providers by NPI
Individual

MR. MICHAEL JAMES SPELLMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
37553
TN
2085R0202X
Diagnostic Radiology Physician
2025-00442
NC
2085R0202X
Diagnostic Radiology Physician
Primary
MD37553
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1509317
MEDICAID - MTI
TN
05
1509317
TN
01
1641017
UNITED HEALTHCARE OF TN
TN
05
3884578
TN
01
4062353
BCBS
TN
01
4062380
BCBS
TN
01
4078470
BCBS
TN
01
4201804
BCBS TN
TN
01
4291381
BCBS - MTI
TN
01
64067788
KY MEDICAID
KY
05
6406778800
KY
01
P00012845
RAILROAD MEDICARE
TN
01
P00960028
RR MEDICARE - MTI
TN
01
PENDING
CIGNA
TN
Enumeration date
06/05/2006
Last updated
05/06/2025
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