Individual
KARLIE SHEA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1700 TREE LN STE 110, SNELLVILLE, GA 30078-6749
(770) 972-0860
(770) 972-0850
Mailing address
1700 TREE LN STE 110, SNELLVILLE, GA 30078-6749
(770) 972-0860
(770) 972-0850
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN263756
GA
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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