institution
Southern Sports Medicine Portland
Specialist in Portland, Tennessee
NPI 1417237728

Southern Sports Medicine Portland is a Specialist based in Gallatin, TN. Southern Sports Medicine Portland practices in Portland, TN. The NPI Number for Southern Sports Medicine Portland is 1417237728 and holds a License No. MD0000026910 (Tennessee).

The current practice location address for Southern Sports Medicine Portland is 121 Village Dr, Portland, TN and can be reached out via phone at 615-325-1180 and via fax at 615-452-2668.

Location: 121 Village Dr, Portland, TN, 37066-2450
institution
Provider Profile Details
NPI Number
1417237728
Provider Name
Southern Sports Medicine Portland
Credential
Provider Entity Type
Organization
Address
121 Village Dr, Portland, TN, 37066-2450
Phone Number
615-325-1180
Fax Number
615-452-2668
Provider Enumeration Date
08/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
121 Village Dr
City
State
Zip
37148-1418
Phone Number
615-325-1180
Fax Number
615-452-2668
person
Provider Business Mailing Address Details
Address
121 Village Dr
City
State
Zip
37148-1418
Phone Number
615-325-1180
Fax Number
615-452-2668
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD0000026910 (Tennessee)
Definition
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.
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