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
330 BORTHWICK AVE, SUITE 200, PORTSMOUTH, NH 03801-4174
(603) 433-8733
(603) 433-8834
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008492
—
NH
05
—
30213784
—
NH
Enumeration date
10/17/2005
Last updated
11/07/2017
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