Healthcare Provider Details

I. General information

NPI: 1417973249
Provider Name (Legal Business Name): CORY L CALENDINE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 EDWARD CURD LN
FRANKLIN TN
37067-5791
US

IV. Provider business mailing address

3000 EDWARD CURD LN
FRANKLIN TN
37067-5791
US

V. Phone/Fax

Practice location:
  • Phone: 615-791-2630
  • Fax: 615-791-2639
Mailing address:
  • Phone: 615-791-2630
  • Fax: 615-791-2639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberMD38613
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: