Individual
CHRISTIE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1307 E ELM ST, ATHENS, AL 35611-5318
(256) 232-3661
(256) 341-0747
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 260-7361
(256) 341-0747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-125677
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51189303
BLUE CROSS BLUE SHIELD
AL
01
—
51189304
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/09/2016
Last updated
04/06/2017
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