| NPI | 1376229419 |
|---|---|
| Doing Business As | UP MEDICAL GROUP - PORTAGE EXPRESS CARE |
| Entity Type | Organization |
| Authorized Contact | MONICA BOWMAN President 615-920-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |