Individual
DR. MICHAEL DEAN LITTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 S BROADWAY, PORTLAND, TN 37148-1625
(615) 325-3100
(615) 325-0076
Mailing address
708A N RUSSELL ST, PORTLAND, TN 37148-2073
(615) 325-5760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO 711
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3301754
—
TN
Enumeration date
02/28/2006
Last updated
01/26/2017
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