Individual
DR. SUSAN MARIE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1618 GUNBARREL RD STE 102, CHATTANOOGA, TN 37421
(423) 710-1432
(423) 710-1433
Mailing address
1618 GUNBARREL RD STE 102, CHATTANOOGA, TN 37421-4139
(423) 710-1432
(423) 710-1433
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1484
TN
237600000X
Audiologist-Hearing Aid Fitter
1484
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306095682
NPI
TN
05
—
Q012334
—
TN
Enumeration date
09/11/2008
Last updated
08/24/2018
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