Individual
SANDRA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 949-5117
Mailing address
2914 RIVER RIDGE DR SW, ATLANTA, GA 30354-2132
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
GA
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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