Individual
BILL SCOTT PORTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14201 TYSON AVE, PARIS, TN 38222
(731) 407-7013
(731) 407-7019
Mailing address
PO BOX 1030, PARIS, TN 38242-1030
(731) 407-7013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
07989
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3155502
—
TN
01
—
4099437
BCBS
TN
01
—
P00231534
RAILROAD MEDICARE
TN
Enumeration date
06/05/2006
Last updated
11/25/2013
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