Porter, Surrell
Porter, Surrell is an individual health care provider with primary practice located at 1287 Georgia Highway 138 Spur Suite 8, Jonesboro GA 30236. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Porter, Surrell can be contacted via phone (770) 473-0038.Contact Information
Primary practice address
1287 Georgia Highway 138 Spur Suite 8
Jonesboro GA 30236
Phone: (770) 473-0038
Fax: (770) 471-4290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN181538 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN181538 | Georgia |
Profile Details
| NPI number | 1467827402 |
|---|---|
| LBN Legal business name | Porter, Surrell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2015 |
| Last updated | Jan 25th, 2022 - about 4 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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