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Contact Information

ADVANCED ORTHOPEDICS & SPORTS MEDICINE, PLLC
1720 E REELFOOT AVE
STE 104
UNION CITY, TN38261-6047
 Phone: 731-885-8484
 Fax: 731-884-1609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ADVANCED ORTHOPEDICS SPORTS MEDICINE PLLC · (Female)

NPI Number 1134328370
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2007
Last updated 09/29/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 7562
  • TN License # MD30242
  • TN License # MD34241
  • TN Other 3370134 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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