Individual
MARK A. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S HERLONG AVE, SUITE H, ROCK HILL, SC 29732-1182
(803) 366-6135
(803) 366-3439
Mailing address
200 S HERLONG AVE, SUITE H, ROCK HILL, SC 29732-1182
(803) 366-6135
(803) 366-3439
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22500
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7902900
—
NC
05
—
PA8722
—
SC
Enumeration date
08/22/2005
Last updated
10/30/2007
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