# BRIDGEMILL FAMILY MEDICAL ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841471273
- **Authorized official:** DR. WILLIAM E PORTER MD (PRESIDENT)
- **Authorized official phone:** (770) 720-1880

## Contact information

- **Practice address:** 3755 SIXES RD, SUITE 202, CANTON, GA 30114-7842
- **Practice address phone:** (770) 720-1880
- **Practice address fax:** (770) 704-7162
- **Mailing address:** 3755 SIXES RD, SUITE 202, CANTON, GA 30114-7842
- **Mailing address phone:** (770) 720-1880
- **Mailing address fax:** (770) 704-7162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 12/07/2007