Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD0000053202 | TN |
NPI | 1114160678 |
---|---|
Provider Name | Dr. Adam M Caputo |
First Address | Chattanooga, TN 37421-3127 |
Second Address | Chattanooga, TN 37421-3127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 28/01/2022 |