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Main Street Family Practice Inc
Specialist in Portland, Tennessee
NPI 1952355372

Main Street Family Practice Inc is a Specialist based in Portland, TN. Main Street Family Practice Inc practices in Portland, TN. The NPI Number for Main Street Family Practice Inc is 1952355372 and holds a License No. 33966 (Tennessee).

The current practice location address for Main Street Family Practice Inc is 120 Main St, Portland, TN and can be reached out via phone at 615-323-8873 and via fax at 615-323-8874.

Location: 120 Main St, Portland, TN, 37148-1218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952355372
Provider Name
Main Street Family Practice Inc
Credential
Provider Entity Type
Organization
Address
120 Main St, Portland, TN, 37148-1218
Phone Number
615-323-8873
Fax Number
615-323-8874
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
120 Main St
City
Portland
State
Tennessee
Zip
37148-1218
Phone Number
615-323-8873
Fax Number
615-323-8874
person
Provider Business Mailing Address Details
Address
120 Main St
City
Portland
State
Tennessee
Zip
37148-1218
Phone Number
615-323-8873
Fax Number
615-323-8874
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
33966 (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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