Main Street Family Practice Inc
Main Street Family Practice Inc is a Specialist in Portland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.
- Licensed in
- TN
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
120 Main StPortland, TN 37148-1218
Phone: (615) 323-8873
Fax: (615) 323-8874
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 33966 (TN) |
|---|
Record details
| NPI number | 1952355372 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stacey Vance — President · (615) 323-8873 |
| NPI enumerated | May 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 120 Main St, Portland, TN 37148-1218 |
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