Organization · Type 2 NPI
Main Street Family Practice Inc
Specialist · Portland, TN
NPI number
1952355372
Active
Practice location
120 Main St
Portland, TN 37148-1218
Fax (615) 323-8874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 33966 (TN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Portland
About NPI 1952355372
Main Street Family Practice Inc's National Provider Identifier is 1952355372, issued on May 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, TN. The record was last updated on Aug 22, 2020.