Organization
PORTLAND WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNA BAIN M.D (OWNER)
(615) 445-9133
Entity
Organization
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
Primary
MD0000031162
TN
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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