Individual
DR. SIMON E. PORTEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 SILOAM ROAD, GREENSBORO, GA 30642
(706) 453-5041
Mailing address
5968 GATEWAY BLVD, STONE MOUNTAIN, GA 30087-6055
(678) 476-1448
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
033177
GA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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