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Individual

DR. PORTIA SIWAWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1301 SIGMAN RD NE STE 200, CONYERS, GA 30012-3819
(678) 806-3340
Mailing address
1301 SIGMAN RD NE STE 200, CONYERS, GA 30012-3819
(678) 806-3340

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
82971
GA

Other

Enumeration date
05/22/2011
Last updated
02/06/2026
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