NPI 1114984010 · live from the CMS NPI Registry
Michael R Caudle, MD
Obstetrics & Gynecology, Gynecology in Knoxville, TN. National Provider Identifier 1114984010, active.
NPI record
| NPI | 1114984010 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecology 207VG0400X |
| Practice location | 2018 Western Ave, Knoxville, TN 37921 |
| Practice phone | 865-544-0406 |
| Mailing address | 6350 W A J Hwy, Department 100, Talbott, TN 37877 |
| Enumerated | April 26, 2006 |
| Last updated | September 28, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology | 207V00000X | 14502 (TN) |
| Obstetrics & Gynecology, Gynecology primary | 207VG0400X | 14502 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.