| NPI | 1922171149 |
|---|---|
| Doing Business As | CYNTHIA POORTENGA, MD PC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L POORTENGA President 423-230-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN md0000017131) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-04-20 |