Individual
MRS. DEBRA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27 GAMECOCK AVE STE 201, CHARLESTON, SC 29407-3398
(843) 769-8215
Mailing address
27 GAMECOCK AVE STE 201, CHARLESTON, SC 29407-3398
(843) 769-8215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23828
SC
Other
Enumeration date
09/09/2020
Last updated
08/27/2024
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