Portland Primary Care, Llc | |
103 Redbud Dr Suite E Portland TN 37148-1617 | |
(615) 325-1206 | |
Not Available |
Full Name | Portland Primary Care, Llc |
---|---|
Speciality | Family Medicine |
Location | 103 Redbud Dr, Portland, Tennessee |
Authorized Official Name and Position | Chuck Locke (VP) |
Authorized Official Contact | 6153251206 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Portland Primary Care, Llc 103 Redbud Dr Suite E Portland TN 37148-1617 Ph: (615) 325-1206 | Portland Primary Care, Llc 103 Redbud Dr Suite E Portland TN 37148-1617 Ph: (615) 325-1206 |
NPI Number | 1225072473 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225072473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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