Individual
MR. JEFFREY LYNN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,ATC,LAT
Contact information
Practice address
755 HANK AARON DR SW, ATLANTA, GA 30315-1120
(404) 614-1376
(404) 614-1549
Mailing address
755 HANK AARON DR SW, ATLANTA, GA 30315-1120
(404) 614-1376
(404) 614-1549
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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