Individual
ADAM DEAN PORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5635 PEACHTREE PKWY STE 100, NORCROSS, GA 30092-2823
(770) 368-6215
(770) 368-6261
Mailing address
1975 HIGHWAY 54 W STE 205, PEACHTREE CITY, GA 30269-4794
(678) 902-0457
(770) 415-1450
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001397
GA
Other
Enumeration date
10/09/2018
Last updated
06/19/2023
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