Individual
DR. ROBERT A. PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3755 SIXES RD STE 100, CANTON, GA 30114-7856
(770) 704-4580
(770) 704-9142
Mailing address
3755 SIXES RD STE 100, CANTON, GA 30114-7856
(770) 704-4580
(770) 704-9142
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR007986
GA
Other
Enumeration date
01/10/2007
Last updated
11/20/2019
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