Individual
DR. MELANIE LATRICE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
606 SPRING ST, MACON, GA 31201-2028
(478) 746-4578
(478) 745-6413
Mailing address
606 SPRING ST, MACON, GA 31201-2028
(478) 746-4578
(478) 745-6413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015117
GA
Other
Enumeration date
02/09/2016
Last updated
05/02/2019
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