Individual
MS. NICOLE RIEBE PORRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
165 ASHLEY AVE, CHARLESTON, SC 29425-9125
(843) 876-7080
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(843) 847-4179
(843) 847-4296
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
31761
SC
Other
Enumeration date
06/30/2009
Last updated
10/14/2020
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