Portland Wellness Center Pllc

NPI #1669828315 in Portland, Tennessee

Provider Information

NPI Number
1669828315
Entity Type
Organization
Organization Name
Portland Wellness Center Pllc
Primary Specialty
Internal Medicine
Enumeration Date
May 12, 2016
Last Updated
May 12, 2016

Practice Location

Address
105 E MARKET ST
ZIP Code
37148-1228
Phone
(615) 325-5000

Authorized Official

Name
DR. VERNA BAIN, M.D
Title
OWNER
Phone
(615) 445-9133

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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