Individual
REGINA SUFFI PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
525 COLLEGE AVE, CLEMSON, SC 29631-1444
(864) 654-6050
(864) 654-2719
Mailing address
401 RED MAPLE WAY, CLEMSON, SC 29631-2090
(864) 654-6189
(864) 654-2719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010247
SC
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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