Individual
MS. VERNA BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 E MARKET ST, PORTLAND, TN 37148-1228
(615) 325-5000
(615) 323-8400
Mailing address
105 E MARKET ST, PORTLAND, TN 37148-1228
(615) 325-5000
(615) 323-8400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31162
TN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
31162
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
31162
TN
208000000X
Pediatrics Physician
31162
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3840998
—
TN
05
—
64071749
—
KY
Enumeration date
11/13/2006
Last updated
12/12/2023
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