NPI | 1083443758 |
---|---|
Doing Business As | PORTER FAMILY PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | ANTONIO PORTER Owner 901-878-3274 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-07-30 |
Last Update Date | 2024-07-30 |