Organization
PAUL R PORTER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL RANDALL PORTER MD (OWNER)
(615) 325-6446
Entity
Organization
Contact information
Practice address
934 S BROADWAY ST, STE 3, PORTLAND, TN 37148-1700
(615) 325-6446
(615) 325-2165
Mailing address
934 S BROADWAY ST, STE 3, PORTLAND, TN 37148-1700
(615) 325-6446
(615) 325-2165
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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