Individual
FLOYD RAYMOND PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 WEISGARBER RD, STE 100, KNOXVILLE, TN 37909
(865) 588-5121
(865) 588-2126
Mailing address
PO BOX 59002, KNOXVILLE, TN 37950-9002
(865) 588-5121
(865) 588-2126
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD9276
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166461
—
TN
Enumeration date
07/12/2006
Last updated
07/08/2007
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