Southern Sports Medicine Portland
Southern Sports Medicine Portland is a Specialist in Portland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.
- Licensed in
- TN
- In the registry since
- 2011
Practice location Address checks out
121 Village Dr Ste 102 & 103Portland, TN 37148-1418
Phone: (615) 325-1180
Fax: (615) 452-2668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence MD0000026910 (TN) |
|---|
Record details
| NPI number | 1417237728 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Southern Sports Medicine Institute, PLLC |
| Authorized official | Thomas Gautsch — Owner · (615) 452-3320 |
| NPI enumerated | August 18, 2011 |
| Last updated in NPPES | August 18, 2011 |
| Mailing address | 570 Hartsville Pike, Gallatin, TN 37066-2450 |
Other providers in Portland
-
Main Street Family Practice Inc
120 Main St, Portland, TN 37148-1218 · (615) 323-8873
-
Top Flight Medical Group LLC
103 Redbud Dr Ste A, Portland, TN 37148-1617 · (615) 340-3436