Individual
CATHY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1165 HIGHWAY 1 S, SUITE 400, LUGOFF, SC 29078-8966
(803) 408-3262
(803) 408-8895
Mailing address
645 S SEVENTH ST, PO BOX 366, MC BEE, SC 29101-7101
(843) 335-6756
(843) 335-8731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F2731
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2731
STATE LICENSE
SC
Enumeration date
08/19/2006
Last updated
03/07/2023
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