Individual
DR. PAUL R. PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
934 S BROADWAY ST STE C, PORTLAND, TN 37148-1718
(615) 325-6446
(615) 325-2165
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD15103
TN
207R00000X
Internal Medicine Physician
Primary
TN15103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3013809
—
TN
Enumeration date
07/12/2006
Last updated
04/21/2026
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