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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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