Porter, Jerry D

Porter, Jerry D is an individual health care provider with primary practice located at 5665 Peachtree Dunwoody Rd Ne , Atlanta GA 30342-1701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Porter, Jerry D can be contacted via phone (404) 252-1968.

Contact Information

Primary practice address
5665 Peachtree Dunwoody Rd Ne Atlanta GA 30342-1701
Phone: (404) 252-1968
Fax: (404) 252-4609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X GA19749 Georgia

Profile Details

NPI number 1578625448
LBN Legal business name Porter, Jerry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Nov 18th, 2016 - about 10 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 1578625448 NPPES
Georgia Other 1578625448 NPI

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