Individual
PAUL ANTHONY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1201 22ND ST N, BIRMINGHAM, AL 35234-2726
(205) 251-5271
Mailing address
284 OUTBACK DR, WEDOWEE, AL 36278-4075
(256) 557-8397
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-132215
AL
Other
Enumeration date
06/13/2022
Last updated
06/15/2022
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