Healthcare Provider Details

I. General information

NPI: 1467831396
Provider Name (Legal Business Name): CALLIE REEDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY # U-27
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

1930 ALCOA HWY STE A435
KNOXVILLE TN
37920-1520
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9306
  • Fax: 865-305-6822
Mailing address:
  • Phone: 865-263-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number65563
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number65563
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: