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Organization
STATE OF TENNESSEE
Active
Organization
STATE OF TENNESSEE
Active
Other names
Sumner County Portland Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE HALEY (REGIONAL DIRECTOR)
(615) 650-7000
Entity
Organization
Contact information
Practice address
214 WEST LONGVIEW DRIVE, PORTLAND, TN 37148
(615) 325-5237
(615) 325-5549
Mailing address
214 WEST LONGVIEW DRIVE, PORTLAND, TN 37148
(615) 325-5237
(615) 325-5549
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
TN
Other
Enumeration date
12/27/2007
Last updated
08/28/2012
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