Organization
TENN SM, LLC
Active
Other names
Tennessee Sports Medicine & Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROBERT KAELIN JR. M.D. (OWNER/M.D.)
(615) 553-5500
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD, SUITE 390, SMYRNA, TN 37167-5688
(615) 553-5500
(615) 553-5501
Mailing address
300 STONECREST BLVD, SUITE 390, SMYRNA, TN 37167-5688
(615) 553-5500
(615) 553-5501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3723235
GROUP MEDICARE NUMBER
—
Enumeration date
12/04/2007
Last updated
12/04/2007
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