Organization
MICHAEL D. LITTELL, D.O., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DEAN LITTELL DO (OWNER)
(615) 325-3100
Entity
Organization
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) 325-3100
(615) 325-0076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-711
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730504
—
TN
Enumeration date
01/07/2007
Last updated
04/04/2008
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