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/MD)
(615) 443-7700
Entity
Organization
Contact information
Practice address
1430 W BADDOUR PKWY, LEBANON, TN 37087-2514
(615) 443-7700
(615) 443-7200
Mailing address
1430 W BADDOUR PKWY, LEBANON, TN 37087-2514
(615) 443-7700
(615) 443-7200
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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