Individual
RYAN CLAIBORNE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 765-1000
Mailing address
2398 DOUGLASS AVE, MEMPHIS, TN 38114-2323
(864) 483-3005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0440749
KS
207R00000X
Internal Medicine Physician
54356
TN
Other
Enumeration date
06/18/2013
Last updated
11/03/2022
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