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Individual

DR. ASHLEY PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3760 SIXES RD STE 130, CANTON, GA 30114-8196
(470) 863-6738
Mailing address
3760 SIXES RD STE 130, CANTON, GA 30114-8196
(470) 863-6738

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015265
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT015265
GEORGIA STATE BOARD OF PHYSICAL THERAPY
GA
Enumeration date
05/25/2021
Last updated
02/26/2023
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