# SUMNER PHYSICIAN PRACTICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Portland Family Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457719064
- **Authorized official:** CHARLOTTE LAWRENCE (SECRETARY)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 700 S BROADWAY ST, PORTLAND, TN 37148-1625
- **Practice address phone:** (615) 325-3100
- **Practice address fax:** (615) 325-0076
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
- **Mailing address phone:** (615) 920-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2016
- **Last updated:** 10/13/2024