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Individual
WALTER FRANK PORTER III
Active
Individual
WALTER FRANK PORTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000980383A
—
GA
05
—
000980383C
—
GA
05
—
000980383F
—
GA
01
—
52806653006
BCBS GA
GA
01
—
52806653017
BCBS GA
GA
Enumeration date
05/26/2006
Last updated
02/04/2011
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