Individual
THOMAS CONRAD CALDWELL JR.
Active
Individual
THOMAS CONRAD CALDWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
017731
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000143907
UNITED HEALTHCARE ID
TN
05
—
3000262
—
TN
05
—
3028429
—
TN
01
—
3065950
BLUE CROSS PROVIDER ID
TN
01
—
4034512
AETNA ID
TN
01
—
4156364
BLUE CROSS ID
TN
Enumeration date
10/24/2006
Last updated
05/27/2008
Update your record
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