Individual
DR. MICHAEL CHAMBERS PORTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 MEMORIAL DR, JACKSONVILLE, NC 28546-6332
(910) 577-7575
(910) 577-9379
Mailing address
224 MEMORIAL DR, JACKSONVILLE, NC 28546-6332
(910) 577-7575
(910) 577-9379
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
081
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011KJ
BLUE CROSS/BLUE SHIELD
NC
05
—
7908124
—
NC
Enumeration date
05/06/2006
Last updated
07/08/2007
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