MAIN STREET FAMILY PRACTICE INC
NPI 1952355372
Specialist in Portland, TN
- Organization
- Specialist
About MAIN STREET FAMILY PRACTICE INC
This page provides the complete NPI Profile along with additional information for Main Street Family Practice Inc, a provider established in Portland, Tennessee operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1952355372 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number 33966 (TN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Stacey D Vance M.d. (President)
- NPI
- 1952355372 Verify this NPI
- Provider Name
- MAIN STREET FAMILY PRACTICE INC
- Entity Type
- Organization
- Location Address
- 120 MAIN ST PORTLAND, TN 37148
- Location Phone
- (615) 323-8873
- Location Fax
- (615) 323-8874
- Mailing Address
- 120 MAIN ST PORTLAND, TN 37148
- Mailing Phone
- (615) 323-8873
- Mailing Fax
- (615) 323-8874
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 33966
- License State
- TN
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Reviews for MAIN STREET FAMILY PRACTICE INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952355372, enumerated as an "organization" on May 20, 2006.
The provider is located at 120 MAIN ST PORTLAND, TN 37148 and the phone number is (615) 323-8873.
Specialist with taxonomy code 174400000X.
