Organization
TENNESSEE SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROBERT KAELIN JR. MD (ORTHOPAEDIC SURGEON)
(615) 553-5000
Entity
Organization
Contact information
Practice address
4998 CROSSINGS CIR STE 200, MOUNT JULIET, TN 37122-0018
(615) 553-5000
(615) 758-3875
Mailing address
4998 CROSSINGS CIR STE 200, MOUNT JULIET, TN 37122-0018
(615) 553-5000
(615) 758-3875
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
025086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520487
—
TN
01
—
3723564
MEDICARE ID
—
Enumeration date
06/25/2010
Last updated
07/15/2021
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