Porter, Annette Griffin

Porter, Annette Griffin is an sole proprietor health care provider with primary practice located at 1376 Brickyard Rd Suite 4, Chipley FL 32428-6391. She recently has 2 registered licenses in different health care specialties including Hospitals / Rural, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Porter, Annette Griffin can be contacted via phone (850) 415-6781.

Contact Information

Primary practice address
1376 Brickyard Rd Suite 4 Chipley FL 32428-6391
Fax: (850) 415-6783
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X ME86761 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME86761 Florida

Profile Details

NPI number 1184647810
LBN Legal business name Porter, Annette Griffin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Aug 7th, 2013 - about 12 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 1184647810 NPPES
Florida MEDICAID 266148900

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