Individual
PHILLIP P PORCH III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 WALLACE RD, STE 206B, NASHVILLE, TN 37211-4881
(615) 331-8281
(615) 331-3043
Mailing address
2801 CHARLOTTE AVE, NASHVILLE, TN 37209-4035
(615) 250-9200
(615) 250-9251
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD13574
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003495
BLUE CROSS
TN
05
—
3003688
—
TN
05
—
64777980
—
KY
Enumeration date
01/25/2006
Last updated
07/08/2007
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