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Individual
BILL SCOTT PORTIS
Active
Individual
BILL SCOTT PORTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
07989
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3155502
—
TN
01
—
4099437
BCBS
TN
01
—
P00231534
RAILROAD MEDICARE
TN
Enumeration date
06/05/2006
Last updated
11/25/2013
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