Individual
BRANDY A PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
95 COLLIER RD NW STE 5015, ATLANTA, GA 30309-1721
(404) 605-6517
Mailing address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(901) 262-6581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN269255
GA
363LA2100X
Acute Care Nurse Practitioner
269255
GA
Other
Enumeration date
05/03/2021
Last updated
11/01/2024
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