| Michael D. Littell, D.o., Pc | |
|
700 S Broadway Portland TN 37148-1625 | |
| (615) 325-3100 | |
| (615) 325-0076 |
| Full Name | Michael D. Littell, D.o., Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 700 S Broadway, Portland, Tennessee |
| Authorized Official Name and Position | Michael Dean Littell (OWNER) |
| Authorized Official Contact | 6153253100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Littell, D.o., Pc 708a N Russell St Portland TN 37148-2073 Ph: (615) 325-3100 | Michael D. Littell, D.o., Pc 700 S Broadway Portland TN 37148-1625 Ph: (615) 325-3100 |
| NPI Number | 1134277338 |
|---|---|
| Provider Enumeration Date | 01/07/2007 |
| Last Update Date | 04/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134277338 | NPI | - | NPPES |
| 3730504 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO-711 (Tennessee) | Primary |
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