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Organization
PORTER MEDICAL CLINIC,P.C.
Active
Organization
PORTER MEDICAL CLINIC,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CEDRIC E PORTER M.D. (OWNER)
(478) 237-5506
Entity
Organization
Contact information
Practice address
124 VICTORY DR, SWAINSBORO, GA 30401-3235
(478) 237-5506
(478) 237-5508
Mailing address
124 VICTORY DR, SWAINSBORO, GA 30401-3235
(478) 237-5506
(478) 237-5508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029363
GA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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