Porter, Angela

Porter, Angela is an individual health care provider with primary practice located at 2100 Comer Ave , Columbus GA 31904-8725. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Porter, Angela can be contacted via phone (706) 596-5524.

Contact Information

Primary practice address
2100 Comer Ave Columbus GA 31904-8725
Phone: (706) 596-5524
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1760834097
LBN Legal business name Porter, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Aug 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760834097 NPPES
Georgia MEDICAID 1041C0700X

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