Individual
MS. DEANA J PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1925 E GLENN AVE, AUBURN, AL 36830-5729
(334) 528-0078
(334) 528-0079
Mailing address
505 ARBOR LN, CENTERVILLE, GA 31028-8613
(334) 663-7366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/17/2009
Last updated
06/30/2024
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