Tenn Sm, Llc is a Specialist in Lebanon, Tennessee. Tenn Sm, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tenn Sm, Llc is 1871775577. The last update date is 2007-12-04.
Tenn Sm, Llc's current location address is 1430 W Baddour Pkwy, Lebanon, Tennessee. You can contact this provider via phone number 6154437700 and fax number 6154437200. The mailing address for Tenn Sm, Llc is 1430 W Baddour Pkwy, Lebanon, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tenn Sm, Llc |
|---|---|
| Address | 1430 W Baddour Pkwy, Lebanon, Tennessee |
| Phone Number | 6154437700 |
| Fax Number | 6154437200 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/MD |
|---|---|
| Authorized Official Name | Kaelin Robert Charles |
| Credentials | M.D. |
| Telephone Number | 6154437700 |
NPI Number Detail
| NPI Number | 1871775577 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2007-12-04 |
Provider Mailing Address Detail
| Address | 1430 W Baddour Pkwy |
|---|---|
| City | Lebanon |
| State | Tennessee (TN) |
| Post Code | 370872514 |
| Phone Number | 6154437700 |
| Fax Number | 6154437200 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3723235 | GROUP MEDICARE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Tenn Sm, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Tenn Sm, Llc has been assigned the NPI (National Provider Identifier) 1871775577. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Tenn Sm, Llc is physically located?
The Tenn Sm, Llc is physically situated at the following address: 1430 W Baddour Pkwy, Lebanon, TN, 370872514.
What is the Tenn Sm, Llc's specialty and taxonomy code?
The Tenn Sm, Llc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871775577 to Tenn Sm, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1871775577 to Tenn Sm, Llc on 2007-12-04.
When was the Tenn Sm, Llc's information last updated?
The Tenn Sm, Llc's information was last updated on 2007-12-04.
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