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Organization
BRIDGEMILL FAMILY MEDICAL ASSOCIATES, PC
Active
Organization
BRIDGEMILL FAMILY MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E PORTER MD (PRESIDENT)
(770) 720-1880
Entity
Organization
Contact information
Practice address
3755 SIXES RD, SUITE 202, CANTON, GA 30114-7842
(770) 720-1880
(770) 704-7162
Mailing address
3755 SIXES RD, SUITE 202, CANTON, GA 30114-7842
(770) 720-1880
(770) 704-7162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
12/07/2007
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