PORTLAND PRIMARY CARE LLC

PORTLAND, TN
NPI1720034226
Entity TypeOrganization
Authorized ContactJEFF RYDBURG
VP
615-373-7415
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-05-26
Last Update Date2007-12-11
Business Address
PORTLAND PRIMARY CARE LLC
103 REDBUD DR SUITE E
PORTLAND, TN 37148-1617
Phone number: 615-325-1206
Mailing Address
PORTLAND PRIMARY CARE LLC
103 REDBUD DR SUITE E
PORTLAND, TN 37148-1617
Phone number: 615-325-1206