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SOUTHERN SPORTS MEDICINE PORTLAND

Specialist

NPI: 1417237728Organization

Specialties, Licenses & Credentials

SpecialistPrimary

Specialist

Code: 174400000X

MD0000026910(TN)

Contact & Hours

Address
121 VILLAGE DR, STE 102 & 103
PORTLAND, TN 37148

Quick Facts

NPI
1417237728
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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