Individual
THOMAS CONRAD CALDWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2051 HAMILL RD, SUITE 201, HIXSON, TN 37343-4026
(423) 877-2844
(423) 877-1959
Mailing address
2051 HAMILL RD, SUITE 201, HIXSON, TN 37343-4026
(423) 877-2844
(423) 877-1959
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
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